Ma Kevin K, Callahan Alison B, Wang Shih-Hsiu J, Goldman James E, Kazim Michael
*Department of Ophthalmology, Edward S. Harkness Eye Institute, and †Department of Pathology and Cell Biology, Columbia University College of Physicians and Surgeons, New York, New York, U.S.A.
Ophthalmic Plast Reconstr Surg. 2017 May/Jun;33(3S Suppl 1):S111-S114. doi: 10.1097/IOP.0000000000000740.
Orbital schwannomas are typically slow-growing benign tumors that can cause gradual loss of vision, proptosis, and limitation of ocular motility. The authors present an atypical case of a rapidly growing orbital apex schwannoma in a patient with preexisting vision loss secondary to presumed sarcoidal optic neuritis. Contrary to the slowly progressive nature of a typical orbital schwannoma, the lesion was observed to enlarge from radiologically undiscernible to 3.5 cm over 4 years.
眼眶神经鞘瘤通常是生长缓慢的良性肿瘤,可导致视力逐渐丧失、眼球突出和眼球运动受限。作者报告了一例非典型病例,一名患者因疑似结节病性视神经炎已存在视力丧失,却出现了快速生长的眶尖神经鞘瘤。与典型眼眶神经鞘瘤缓慢进展的性质相反,该病变在4年内从影像学上不可见增大至3.5厘米。