Timmis Antonia, Touska Philip, Uddin Jimmy, Pilcher James
Department of Clinical Radiology, St George's University Hospitals NHS Foundation Trust, UK.
Moorfields Eye Hospital, London, UK.
Ultrasound. 2018 Aug;26(3):145-152. doi: 10.1177/1742271X18759824. Epub 2018 Mar 29.
Multiple disease processes may arise within the orbit and imaging plays a vital role in the evaluation of such lesions. The anterior orbital contents are readily amenable to evaluation by ultrasonography. Furthermore, the modality can be used to guide tissue sampling (fine needle aspiration or core biopsy) and may obviate the requirement for invasive surgical biopsy.
We carried out a retrospective review of ultrasound-guided fine needle aspirations/core biopsies of extra-ocular orbital lesions undertaken at our institution. The anatomical locations, sonographic appearances and sampling techniques were analysed.
There were 7 fine needle aspirations and 1 core biopsy carried out during the period analysed. Multimodality imaging was available in all cases. The majority of lesions were located in the region of the lacrimal gland. All procedures were well-tolerated and there were no post-procedure complications.
Many extra-ocular, orbital neoplasms are amenable to ultrasound-guided tissue sampling and the procedure is well tolerated. However, a clear understanding of orbital anatomy, differential diagnosis and technique is required to enable safe sampling. Furthermore, a collaborative, multimodality approach is imperative for optimal patient management.
眼眶内可能出现多种疾病过程，影像学在评估此类病变中起着至关重要的作用。眼眶前部内容物易于通过超声进行评估。此外，该检查方式可用于引导组织采样（细针穿刺抽吸或粗针活检），并且可能无需进行侵入性手术活检。
我们对在本机构进行的超声引导下眼外眼眶病变细针穿刺抽吸/粗针活检进行了回顾性研究。分析了解剖位置、超声表现和采样技术。
在分析期间共进行了7次细针穿刺抽吸和1次粗针活检。所有病例均有多种影像学检查结果。大多数病变位于泪腺区域。所有操作耐受性良好，术后无并发症。
许多眼外眼眶肿瘤适合超声引导下组织采样，该操作耐受性良好。然而，需要对眼眶解剖、鉴别诊断和技术有清晰的了解，以确保安全采样。此外，采用协作式多模态方法对于优化患者管理至关重要。
