Hodgson Nickisa M, Campbell Ashley A, Chang Jessica R, Vizcaino Adelita, Eberhart Charles, Pearl Monica S, McCulley Timothy J
Johns Hopkins University School of Medicine, Wilmer Eye Institute, Baltimore, Maryland, U.S.A.
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.
Ophthalmic Plast Reconstr Surg. 2018 Nov/Dec;34(6):e196-e197. doi: 10.1097/IOP.0000000000001241.
Orbital invasion of pituitary adenomas has been previously reported. In this report, the authors describe a 71-year-old female with a prolactinoma that presented with invasion of and apoplexy within the orbit. The patient underwent exenteration, followed by rapid tumor recurrence and growth. Given the hemorrhagic nature of the tumor, she subsequently underwent preoperative embolization and surgical resection. This case is notable in that it illustrates both apoplexy of a pituitary tumor within the orbit and the benefit of presurgical embolization.
垂体腺瘤侵犯眼眶此前已有报道。在本报告中，作者描述了一名71岁患有泌乳素瘤的女性，该肿瘤表现为眼眶内侵犯及卒中。患者接受了眼眶内容剜除术，随后肿瘤迅速复发并生长。鉴于肿瘤的出血性质，她随后接受了术前栓塞和手术切除。该病例值得注意之处在于，它既显示了眼眶内垂体肿瘤的卒中情况，也体现了术前栓塞的益处。
