*Department of Ophthalmology, University of Washington Eye Institute; and Departments of †Radiology, ‡Pathology, and §Neurological Surgery, University of Washington Medical Center, Seattle, Washington, U.S.A.
Ophthalmic Plast Reconstr Surg. 2014 Mar-Apr;30(2):e47-9. doi: 10.1097/IOP.0b013e31829bb265.
A 16-year-old girl with worsening vision, new OD visual field deficits, and tumor in right orbital apex underwent biopsy and surgical excision. Orbital imaging revealed an apical tumor causing bony erosion. Histopathology confirmed the diagnosis of nodular fasciitis. This is a rare diagnosis, and one that can mimic a neoplastic process. To the authors' knowledge, this is the first case of nodular fasciitis in the deep orbit and the first case of nodular fasciitis causing an optic neuropathy.
一位 16 岁女孩视力逐渐恶化，右眼新出现视野缺损，右侧眶尖有肿瘤，遂进行活检和手术切除。眼眶影像学显示眶尖有一肿瘤导致骨质侵蚀。组织病理学证实为结节性筋膜炎的诊断。这是一种罕见的诊断，可能会误诊为肿瘤性病变。据作者所知，这是首例深部眼眶结节性筋膜炎病例，也是首例因结节性筋膜炎导致视神经病变的病例。
