Ducasse A, Merol J C, Bonnet F, Litré F, Arndt C, Larré I
Hôpital Robert-Debré, CHRU de Reims, avenue du M.L.-Koenig, 51092 Reims, France.
Hôpital Robert-Debré, CHRU de Reims, avenue du M.L.-Koenig, 51092 Reims, France.
J Fr Ophtalmol. 2016 Apr;39(4):387-99. doi: 10.1016/j.jfo.2015.11.009. Epub 2016 Mar 23.
Orbital tumors are a rather frequent pathology. Their diagnosis and treatment may be difficult. They can be benign or malignant. All the tissues of the orbit can give rise to a tumor, resulting in their large number. Among the benign tumors, we have meningiomas and cavernous hemangiomas, and for the malignant tumors, lymphomas, metastasis, ENT tumors and lacrimal gland tumors in the adult. Usually the signs are nonspecific, with proptosis, oculomotor disturbance, inflammatory signs, pain and sometimes a mass. Imaging (CT, MRI and color Doppler ultrasound) shows the tumor, its location, extent and possible metastases. Biopsy and anatomic and cytopathologic examination confirm the type of benign or malignant tumor. Based on these three elements: clinical appearance, imaging and histology, the tumor will be treated, usually by a surgical approach according to the recommendations of a multidisciplinary tumor conference. Radiation therapy and chemotherapy may supplement the treatment.
眼眶肿瘤是一种较为常见的病理情况。其诊断和治疗可能具有挑战性。它们可以是良性的或恶性的。眼眶的所有组织都可能引发肿瘤，导致肿瘤种类繁多。良性肿瘤包括脑膜瘤和海绵状血管瘤，而恶性肿瘤在成人中包括淋巴瘤、转移瘤、耳鼻喉科肿瘤和泪腺肿瘤。通常症状是非特异性的，表现为眼球突出、眼球运动障碍、炎症体征、疼痛，有时还会出现肿块。影像学检查（CT、MRI和彩色多普勒超声）可显示肿瘤、其位置、范围以及可能的转移情况。活检以及解剖学和细胞病理学检查可确诊良性或恶性肿瘤的类型。基于临床表现、影像学检查和组织学这三个要素，通常会根据多学科肿瘤会议的建议，通过手术方法对肿瘤进行治疗。放射治疗和化疗可能会辅助治疗。
