Lucarelli M J, Bilyk J R, Shore J W, Rubin P A, Yaremchuk M J
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, USA.
Plast Reconstr Surg. 1995 Aug;96(2):440-5. doi: 10.1097/00006534-199508000-00029.
Aneurysmal bone cyst is a rare but recognized osseous lesion of the orbit. We report the presentation, treatment, and postoperative course of an orbital aneurysmal bone cyst in a patient with McCune-Albright syndrome. To our knowledge, this report represents the first description of aneurysmal bone cyst of the orbit in a patient with fibrous dysplasia. Although visual loss in patients with fibrous dysplasia is most commonly due to narrowing of the optic canal, aneurysmal bone cyst should be considered in a patient with fibrous dysplasia who presents with decreasing vision in the face of a rapidly expanding orbital mass. The treatment in this case was drainage and debridement with prompt resolution. Although not necessary in this case, an alternative treatment includes packing with bone chips. Radiation is usually avoided because of the risk of iatrogenically induced sarcoma.
动脉瘤样骨囊肿是一种罕见但已被认识的眼眶骨病变。我们报告了一名患有McCune-Albright综合征患者眼眶动脉瘤样骨囊肿的临床表现、治疗及术后过程。据我们所知，本报告是对纤维发育不良患者眼眶动脉瘤样骨囊肿的首次描述。虽然纤维发育不良患者的视力丧失最常见于视神经管狭窄，但对于纤维发育不良且面对快速增大的眼眶肿块出现视力下降的患者，应考虑动脉瘤样骨囊肿。本例的治疗是引流和清创，病情迅速缓解。虽然本例并非必要，但另一种治疗方法包括用骨屑填充。由于存在医源性诱发肉瘤的风险，通常避免放疗。
