Günalp I, Gündüz K
Ocular Oncology Department, Faculty of Medicine, University of Ankara, Turkey.
Doc Ophthalmol. 1995;89(4):337-45. doi: 10.1007/BF01203709.
Eighty-five vascular lesions of the orbit examined and treated between 1963-1993 were reviewed retrospectively to reveal the types of vascular tumors, age and sex distribution, clinical characteristics, treatment options and prognosis. Capillary hemangioma was the most frequent orbital vascular tumor accounting for 37 of 85 cases making up 43.5% of the entire orbital masses. Cavernous hemangioma accounted for 35 cases (41.2%), varices for 3 cases (3.5%), anteriovenous malformations for 3 cases (3.5%), angiosarcomas for 3 cases (3.5%), lymphangiomas for 3 cases (3.5%) and hemangiopericytoma for one case (1.2%). Of the 85 vascular tumor cases 43 were encountered in children aged 18 years or less. Capillary hemangioma was the most frequent pediatric orbital vascular lesion, making up 86% of the vascular tumors in this age group. Capillary hemangiomas have been treated with observation and intralesional corticosteroid injections. Cavernous hemangiomas, vascular malformations, lymphangiomas and two cases of angiosarcomas received orbitotomy. One case each of angiosarcoma and hemangiopericytoma underwent exenteration because of the advanced stage of the lesion. There was one tumor-related death who was a 9-year-old boy diagnosed with angiosarcoma. Vascular tumors with the exception of angiosarcomas and hemangiopericytoma behaved as benign lesions.
回顾性分析了1963年至1993年间检查并治疗的85例眼眶血管性病变，以明确血管肿瘤的类型、年龄和性别分布、临床特征、治疗选择及预后。毛细血管瘤是最常见的眼眶血管肿瘤，85例中有37例，占全部眼眶肿物的43.5%。海绵状血管瘤35例（41.2%），静脉曲张3例（3.5%），动静脉畸形3例（3.5%），血管肉瘤3例（3.5%），淋巴管瘤3例（3.5%），血管外皮细胞瘤1例（1.2%）。85例血管肿瘤患者中，43例为18岁及以下儿童。毛细血管瘤是最常见的儿童眼眶血管性病变，占该年龄组血管肿瘤的86%。毛细血管瘤采用观察和病灶内注射皮质类固醇治疗。海绵状血管瘤、血管畸形、淋巴管瘤和2例血管肉瘤接受了眼眶切开术。1例血管肉瘤和1例血管外皮细胞瘤因病变晚期行眶内容剜除术。有1例与肿瘤相关的死亡病例，是一名9岁诊断为血管肉瘤的男孩。除血管肉瘤和血管外皮细胞瘤外，血管肿瘤表现为良性病变。
