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眼眶巨细胞血管纤维瘤的不寻常肌锥内定位。

Unusual intraconal localization of orbital giant cell angiofibroma.

作者信息

Ekin Meryem Altin, Ugurlu Seyda Karadeniz, Cakalagaoglu Fulya

机构信息

Department of Ophthalmology, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.

Department of Pathology, Izmir Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkey.

出版信息

Indian J Ophthalmol. 2018 Jan;66(1):160-163. doi: 10.4103/ijo.IJO_755_16.

DOI:10.4103/ijo.IJO_755_16
PMID:29283151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5778559/
Abstract

Giant cell angiofibroma (GCA) is a recently reported rare soft-tissue tumor that can develop in various sites including orbit. Orbital GCAs were mainly located in the eyelid or extraconal regions such as lacrimal gland and conjunctiva. We report an atypical case of a GCA arising in the intraconal area of the orbit in a 65-year-old male patient. The tumor was excised in total by lateral orbitotomy. Histological and immunohistochemical features were consistent with the diagnosis of GCA. No recurrence was observed during the follow-up of over 2 years. GCA is a rare tumor that should be considered in the differential diagnosis of intraconal orbital tumors. Complete surgical removal is the current optimal treatment option.

摘要

巨细胞血管纤维瘤(GCA)是一种最近报道的罕见软组织肿瘤,可发生于包括眼眶在内的各种部位。眼眶GCA主要位于眼睑或眶锥外区域,如泪腺和结膜。我们报告一例非典型的GCA病例,发生于一名65岁男性患者眼眶的眶锥内区域。通过外侧眶切开术将肿瘤完整切除。组织学和免疫组化特征与GCA的诊断相符。在超过2年的随访期间未观察到复发。GCA是一种罕见肿瘤,在眶锥内眼眶肿瘤的鉴别诊断中应予以考虑。完整手术切除是目前最佳的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/5778559/4233aca9af73/IJO-66-160-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/5778559/9fd9eb11efa6/IJO-66-160-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/5778559/4233aca9af73/IJO-66-160-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/5778559/9fd9eb11efa6/IJO-66-160-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/692e/5778559/4233aca9af73/IJO-66-160-g002.jpg

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本文引用的文献

1
Orbital solitary fibrous tumor: encompassing terminology for hemangiopericytoma, giant cell angiofibroma, and fibrous histiocytoma of the orbit: reappraisal of 41 cases.眼眶孤立性纤维瘤:涵盖血管外皮细胞瘤、巨细胞血管纤维瘤和眼眶纤维组织细胞瘤的术语:41 例回顾性研究。
Hum Pathol. 2011 Jan;42(1):120-8. doi: 10.1016/j.humpath.2010.05.021. Epub 2010 Nov 5.
2
Giant cell angiofibroma, a variant of solitary fibrous tumor, of the orbit in a 16-year-old girl.眼眶巨大细胞血管纤维瘤,一种孤立性纤维性肿瘤的变异型,发生于一名 16 岁女孩。
Ophthalmic Plast Reconstr Surg. 2009 Sep-Oct;25(5):402-4. doi: 10.1097/IOP.0b013e3181b39a15.
3
Orbital giant cell angiofibroma recurring as a solitary fibrous tumor.
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Ophthalmic Plast Reconstr Surg. 2008 Jul-Aug;24(4):325-7. doi: 10.1097/IOP.0b013e31817dd6f5.
4
Giant cell angiofibroma of the orbit with periosteal adherence.伴有骨膜粘连的眼眶巨细胞血管纤维瘤。
Clin Exp Ophthalmol. 2006 Dec;34(9):886-8. doi: 10.1111/j.1442-9071.2006.01371.x.
5
Orbital giant cell angiofibroma.
APMIS. 2006 Sep;114(9):663-5. doi: 10.1111/j.1600-0463.2006.apm_382.x.
6
Orbital giant cell angiofibroma: immuno-histochemistry and differential diagnosis.眼眶巨细胞血管纤维瘤:免疫组织化学与鉴别诊断
Can J Ophthalmol. 2006 Apr;41(2):216-20. doi: 10.1139/I06-002.
7
Giant cell angiofibroma of the ocular adnexae.
Arch Ophthalmol. 2005 Oct;123(10):1438-43. doi: 10.1001/archopht.123.10.1438.
8
Giant cell angiofibroma of the orbit.眼眶巨细胞血管纤维瘤
AJNR Am J Neuroradiol. 2004 Aug;25(7):1266-8.
9
Orbital and extraorbital giant cell angiofibroma: a giant cell-rich variant of solitary fibrous tumor? Clinicopathologic and immunohistochemical analysis of a series in favor of a unifying concept.眼眶及眶外巨细胞血管纤维瘤:孤立性纤维瘤的一种富含巨细胞的变异型?支持统一概念的系列病例临床病理及免疫组化分析
Am J Surg Pathol. 2000 Jul;24(7):971-9. doi: 10.1097/00000478-200007000-00008.
10
Giant cell angiofibroma of the orbit and eyelid.眼眶和眼睑的巨细胞血管纤维瘤
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