Chaskes Mark B, Rabinowitz Mindy R
Department of Otolaryngology, Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, United States.
J Neurol Surg B Skull Base. 2020 Aug;81(4):376-380. doi: 10.1055/s-0040-1713935. Epub 2020 Aug 24.
Orbital schwannomas are rare neoplasms of the orbit. The presenting symptoms are often nonspecific. Classic imaging characteristics seen on magnetic resonance imaging (MRI) and orbital ultrasound can be useful to help aid in the diagnosis of orbital schwannoma. When diagnosed, the goal of treatment is complete surgical excision. The location of the tumor within the orbit dictates which surgical approach would provide the best exposure. When complete excision is achieved, recurrence rates are very low. This article addresses the etiology, patient population, presentation, natural history, and differential diagnosis of orbital schwannomas. Imaging characteristics and histopathologic subtypes are reviewed. Treatment goals, approaches, and specialties involved in the management of these patients is discussed. Finally, a representative case is presented.
眼眶神经鞘瘤是眼眶罕见的肿瘤。其表现症状通常不具有特异性。磁共振成像（MRI）和眼眶超声显示的典型影像学特征有助于眼眶神经鞘瘤的诊断。确诊后，治疗目标是完整手术切除。肿瘤在眼眶内的位置决定了哪种手术入路能提供最佳暴露。实现完整切除后，复发率很低。本文探讨眼眶神经鞘瘤的病因、患者群体、表现、自然病史及鉴别诊断。回顾其影像学特征和组织病理学亚型。讨论这些患者管理中的治疗目标、方法及涉及的专业领域。最后展示一个典型病例。
