Mathew Ninan, Mathew Mathen, Farrah Jon
Oral and Maxillofacial Surgery, Queensland Health, The University of Queensland, Herston, Qld., Australia.
General Surgery, Monash Health, Clayton, Vic., Australia.
Case Rep Ophthalmol. 2015 Jun 10;6(2):180-5. doi: 10.1159/000431282. eCollection 2015 May-Aug.
Sarcomatous carcinomas (SCs) are rare tumours that contain malignant cells with epithelial and mesenchymal characteristics. SC rarely presents in the head and neck, and occurs even less often in the orbit. Only 8 cases of SCs located in the orbit or affecting the globe function have been described in the English literature. Here, we report a case of SC affecting the right orbit. SC is associated with a poor prognosis and advanced disease at presentation. Diagnosis is difficult, as histology often fails to definitively identify SC, necessitating a wide panel of molecular/immunological markers. Treatment options are generally aggressive but risky, and frequently yield poor results. Due to the rarity of SC, there has been little focus on the development of improved treatment options.
肉瘤样癌(SCs)是一种罕见的肿瘤,其恶性细胞具有上皮和间充质特征。SCs很少出现在头颈部,在眼眶中更为罕见。英文文献中仅报道了8例位于眼眶或影响眼球功能的SCs。在此,我们报告1例累及右侧眼眶的SCs。SCs预后较差,初诊时病情往往已属晚期。诊断困难,因为组织学检查常常无法明确诊断SCs,需要多种分子/免疫标记物。治疗方案通常积极但风险较大,且疗效往往不佳。由于SCs罕见,很少有人关注改进治疗方案的研发。