Bae Dong Hyeon, Kim Choong Hyun, Cheong Jin Hwan, Kim Jae Min
Department of Neurosurgery, Hanyang University Guri Hospital, Guri, Korea.
J Korean Neurosurg Soc. 2014 Aug;56(2):146-8. doi: 10.3340/jkns.2014.56.2.146. Epub 2014 Aug 31.
Benign triton tumor (BTT) or neuromuscular hamartoma is an uncommon tumor composed of mature neural and well-differentiated striated muscular elements. Its development is exceptionally rare in the adult and head region. This report describes a case of adulthood BTT that occurred in the orbit. The patient was a 53-year-old woman who presented with right periorbital swelling and pain in eyeball over 2 months. Magnetic resonance imaging revealed a well-enhancing mass surrounding optic nerve and ocular muscles in the right retrobulbar area. The tumor was subtotally removed via transcranial approach. Its pathological diagnosis was confirmed to be a neuromuscular hamartoma. She developed diplopia postoperatively. Adulthood BTT should be considered in the differential diagnosis of head and neck tumors. It is also important to make adequate therapeutic strategy to avoid postoperative neural dysfunction.
良性蝾螈瘤(BTT)或神经肌肉错构瘤是一种由成熟神经和分化良好的横纹肌成分组成的罕见肿瘤。其在成人及头部区域的发生极为罕见。本报告描述了一例发生于眼眶的成人BTT病例。患者为一名53岁女性,出现右侧眶周肿胀及眼球疼痛2个月余。磁共振成像显示右侧球后区域围绕视神经和眼肌有一个强化良好的肿块。通过经颅入路将肿瘤次全切除。病理诊断证实为神经肌肉错构瘤。她术后出现了复视。在头颈部肿瘤的鉴别诊断中应考虑成人BTT。制定充分的治疗策略以避免术后神经功能障碍也很重要。