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结膜下神经鞘黏液瘤致眶隔脂肪脱垂 1 例罕见报告

A Rare Case of Subconjunctival Nerve Sheath Myxoma Presenting as Orbital Fat Prolapse.

机构信息

Department of Orbital Oculoplastic and Lacrimal Surgery, The Rotterdam Eye Hospital.

Department of Pathology, Erasmus MC University Medical Center Rotterdam.

出版信息

Ophthalmic Plast Reconstr Surg. 2024;40(6):e230-e232. doi: 10.1097/IOP.0000000000002752. Epub 2024 Jul 30.

Abstract

Nerve sheath myxomas are extremely rare myxoid peripheral nerve sheath tumors with a predilection for the distal extremities, particularly common in the fingers and knees. Here, the authors report a 60-year-old male patient with a subconjunctival epibulbar nerve sheath myxoma, which was clinically diagnosed as an orbital fat prolapse. The lesion was successfully debulked without clinical recurrence over more than 3 years. To the authors' knowledge, this is the first case with subconjunctival presentation and fourth orbital reported case.

摘要

神经鞘黏液瘤是一种极为罕见的黏液样外周神经鞘肿瘤,好发于四肢远端,尤以手指和膝关节多见。本文报道了 1 例 60 岁男性患者,其患发于球结膜下的眶隔神经鞘黏液瘤,起初临床诊断为眶脂肪脱垂。病变成功切除,3 年多来无临床复发。据作者所知,这是首例结膜下表现和第 4 例眶内报道病例。

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