Wróbel Agnieszka, Składzień Jacek, Gawlik Jolanta, Oleś Krzysztof, Szaleniec Joanna, Leszczyńska Joanna, Bojanowska Emilia
Katedra i Klinika Otolaryngologii, UJ CM w Krakowie, Kraków.
Przegl Lek. 2013;70(7):417-20.
The main aim of the study was to establish the frequency of orbital tumor occurrence in the patients of the University Hospital Otolaryngology Clinic in Kraków as well as to analyze the clinical features, location in the orbit and to identify the group of patients with the highest risk of orbital tumor. The authors retrospectively analyzed 46 patients (29 women and 17 men) between the ages of 23 and 87. This group of patients was compared to a group of 80 patients who were surgically treated at the same clinic 10 years ago and to a group of 70 patients treated 15 years ago. We established that the tumors localized in the orbit were mainly benign. A variety of histological types of tumors arises in the orbit but it was significant that inflammatory pseudotumors were the most common cases in all three groups of patients treated in our clinic now, about 10 and about 15 years ago. Referring to the group of patients at the highest risk, we established that orbital tumors are definitely most common in women than men. It has turned out to be statistically significant that benign tumors were most common in younger patients and malignant in older people. That suggests the conclusion that being female is a risk factor for orbital tumors and age is a risk factor for them being malignant. Comparing different approaches for the resection of orbital tumors, we established that the lateral orbitotomy provides access to orbital tumors in the most common locations (intraconal and in the top corner of the orbit). Malignant and extensive tumors have to be treated by orbital exenteration.
该研究的主要目的是确定克拉科夫大学医院耳鼻喉科诊所患者眼眶肿瘤的发生率，分析其临床特征、眼眶内位置，并确定眼眶肿瘤风险最高的患者群体。作者回顾性分析了46例年龄在23岁至87岁之间的患者（29名女性和17名男性）。将这组患者与10年前在同一诊所接受手术治疗的80例患者以及15年前接受治疗的70例患者进行比较。我们确定眼眶内的肿瘤主要是良性的。眼眶内出现了多种组织学类型的肿瘤，但重要的是，炎性假瘤在我们诊所目前、约10年前和约15年前接受治疗的所有三组患者中都是最常见的病例。关于风险最高的患者群体，我们确定眼眶肿瘤在女性中绝对比男性更常见。结果表明，良性肿瘤在年轻患者中最常见，恶性肿瘤在老年患者中最常见，这在统计学上具有显著意义。这表明女性是眼眶肿瘤的一个风险因素，年龄是肿瘤恶变的一个风险因素。比较眼眶肿瘤切除的不同方法，我们确定外侧眼眶切开术可进入眼眶最常见位置（肌锥内和眼眶顶角）的肿瘤。恶性和广泛的肿瘤必须通过眼眶内容剜除术治疗。
