Limb Rebecca J, Rosenfeld Jeffrey V, McLean Catriona
Department of Neurosurgery, The Alfred Hospital, Melbourne, Australia.
Department of Surgery, Monash University, Melbourne, Australia.
Asian J Neurosurg. 2013 Oct;8(4):192-4. doi: 10.4103/1793-5482.125668.
Oncocytomas are rare benign tumours often arising from the lacrimal or salivary glands, usually small in size.
We report a giant unilateral orbital oncocytoma in a 19-year-old male from Papua New Guinea, presenting with progressive proptosis-threatening vision. Due to retro-ocular extension of the lesion, surgical excision was performed via a fronto-orbitozygomatic craniotomy and orbitotomy. A sub-total excision of the lesion was achieved, with overall improvement in proptosis and cosmesis.
This appears to be the first documented case of a giant intra-orbital oncocytoma being resected neurosurgically via craniotomy.
嗜酸性细胞瘤是罕见的良性肿瘤，通常起源于泪腺或唾液腺，体积通常较小。
我们报告一例来自巴布亚新几内亚的19岁男性的巨大单侧眼眶嗜酸性细胞瘤，表现为进行性眼球突出，威胁视力。由于病变向眼球后扩展，通过额眶颧开颅术和眼眶切开术进行手术切除。实现了病变的次全切除，眼球突出和美容效果总体改善。
这似乎是第一例通过开颅手术进行神经外科切除的巨大眼眶内嗜酸性细胞瘤的记录病例。
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