Calsina Marta, Philipone Elizabeth, Patwardhan Mugdha, Eisig Sidney, Prat Joan, Kazim Michael
Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, Edward S. Harkness Eye Institute, Columbia College of Physicians and Surgeons, and Columbia Presbyterian Hospital, New York Eye Center, Ophthalmology, New York, NY 10038, USA.
Orbit. 2011 Aug;30(4):180-2. doi: 10.3109/01676830.2011.574773.
This describes a non-interventional case series of 2 patients, aged 7 and 9 years referred to Oculoplastic Unit, both for evaluation of a gradually enlarging, painless, mass of the cheek. CT scan of the first case revealed left orbital floor destruction from a well-defined intraosseous mass. The second was a round circumscribed orbital floor tumor without bone destruction. Histological diagnosis of myofibroma was rendered in both cases. Solitary myofibromas are rare in the orbit. Their rapid growth and bony destruction can mimic malignant tumors. Complete excision with close follow-up is the preferred treatment. Solitary myofibroma should be considered in the differential diagnoses of fibrous tumors with bone destruction in the orbit.
这描述了一个非介入性病例系列，涉及2名年龄分别为7岁和9岁的患者，他们因脸颊处逐渐增大、无痛性肿块而被转诊至眼整形科。第一例患者的CT扫描显示，一个边界清晰的骨内肿块导致左侧眶底破坏。第二例是一个圆形边界清晰的眶底肿瘤，无骨质破坏。两例均经组织学诊断为肌纤维瘤。孤立性肌纤维瘤在眼眶中较为罕见。它们的快速生长和骨质破坏可能会被误诊为恶性肿瘤。首选治疗方法是完整切除并密切随访。在眼眶骨质破坏的纤维性肿瘤鉴别诊断中应考虑孤立性肌纤维瘤。
