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眼眶神经鞘瘤的一个不寻常位置:病例报告

An Unusual Location for Orbital Schwannoma: A Case Report.

作者信息

Etezad Razavi Mohammad, Motamed Shariati Mehrdad, Fakoor Mostafa

机构信息

Eye Research Center Mashhad University of Medical Sciences Mashhad Iran.

出版信息

Clin Case Rep. 2025 Jun 2;13(6):e70567. doi: 10.1002/ccr3.70567. eCollection 2025 Jun.

DOI:10.1002/ccr3.70567
PMID:40463739
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12130568/
Abstract

Orbital schwannomas are benign and slow-growing tumors that constitute 1% of all orbital tumors. They arise from the sensory branch of the ophthalmic division of the trigeminal nerve and are hence more often found in superior orbit regions. In this case report, we presented a 34-year-old healthy man with proptosis in the right eye and diplopia. Imaging revealed a large, well-circumscribed mass in the right medial rectus. The patient underwent surgical resection of the tumor, and the patient's symptoms resolved 5 days after surgery. Pathological and immunohistochemical evaluations confirm the diagnosis of schwannoma.

摘要

眼眶神经鞘瘤是良性的、生长缓慢的肿瘤,占所有眼眶肿瘤的1%。它们起源于三叉神经眼支的感觉分支,因此更常见于眼眶上部区域。在本病例报告中,我们介绍了一名34岁的健康男性,他右眼突出并伴有复视。影像学检查显示右内侧直肌有一个边界清晰的大肿块。患者接受了肿瘤手术切除,术后5天症状消失。病理和免疫组化评估证实为神经鞘瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/93b576acc8c7/CCR3-13-e70567-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/d6ce086e7b54/CCR3-13-e70567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/62b2b6562917/CCR3-13-e70567-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/226313cab565/CCR3-13-e70567-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/a0faa01a7b4a/CCR3-13-e70567-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/93b576acc8c7/CCR3-13-e70567-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/d6ce086e7b54/CCR3-13-e70567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/62b2b6562917/CCR3-13-e70567-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/226313cab565/CCR3-13-e70567-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/a0faa01a7b4a/CCR3-13-e70567-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f98e/12130568/93b576acc8c7/CCR3-13-e70567-g005.jpg

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本文引用的文献

1
Orbital schwannoma arising within inferior rectus muscle: A rare orbital tumor.起源于下直肌的眼眶神经鞘瘤:一种罕见的眼眶肿瘤。
Am J Ophthalmol Case Rep. 2024 Sep 11;36:102172. doi: 10.1016/j.ajoc.2024.102172. eCollection 2024 Dec.
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Bilateral Inferior Rectus Schwannoma and Strabismus: A Case Report.双侧下直肌施万瘤与斜视:一例报告
Cureus. 2024 Mar 5;16(3):e55582. doi: 10.7759/cureus.55582. eCollection 2024 Mar.
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Acta Neurochir (Wien). 2024 Jan 13;166(1):9. doi: 10.1007/s00701-024-05899-1.
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Orbital Tumors-Clinical, Radiologic and Histopathologic Correlation.眼眶肿瘤——临床、放射学与组织病理学的相关性
Diagnostics (Basel). 2022 Sep 30;12(10):2376. doi: 10.3390/diagnostics12102376.
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Imaging characteristics of orbital peripheral nerve sheath tumors: Analysis of 34 cases.眼眶周围神经鞘瘤的影像学特征:34例分析
World J Clin Cases. 2022 Jul 26;10(21):7356-7364. doi: 10.12998/wjcc.v10.i21.7356.
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Diagnostic Pathology of Tumors of Peripheral Nerve.周围神经肿瘤的诊断病理学。
Neurosurgery. 2021 Feb 16;88(3):443-456. doi: 10.1093/neuros/nyab021.
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Intramuscular Orbital Schwannoma With Cystic Degeneration: Serial Changes in MRI Signal Characteristics.伴有囊性变的肌内眼眶神经鞘瘤:MRI信号特征的系列变化
Ophthalmic Plast Reconstr Surg. 2021;37(5):e192. doi: 10.1097/IOP.0000000000001916.
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Orbit. 2022 Feb;41(1):15-27. doi: 10.1080/01676830.2020.1858431. Epub 2021 Jan 4.
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Ophthalmic Plast Reconstr Surg. 2020 Nov/Dec;36(6):590-595. doi: 10.1097/IOP.0000000000001657.