Ezra E, Mannor G, Wright J E, Rose G E
Adnexal Service, Moorfields Eye Hospital, London, United Kingdom.
Am J Ophthalmol. 1995 Dec;120(6):803-5. doi: 10.1016/s0002-9394(14)72739-4.
To emphasize that solitary orbital extramedullary plasmacytoma, a rare tumor, is not invariably radiosensitive.
We examined a patient who had undergone empirical irradiation that failed to control an orbital tumor.
After a second biopsy had secured the diagnosis of a solitary extramedullary plasmacytoma, further irradiation proved ineffective and exenteration was required. The patient was free of recurrence one year after exenteration and had satisfactory cosmesis with a prosthesis.
A histologic diagnosis is essential before treatment is commenced so that the correct radiation dosage is used.
强调孤立性眼眶髓外浆细胞瘤这种罕见肿瘤并非总是对放疗敏感。
我们检查了一名接受经验性放疗但未能控制眼眶肿瘤的患者。
在第二次活检确诊为孤立性髓外浆细胞瘤后，进一步放疗证明无效，需要进行眼眶内容物剜除术。患者在眼眶内容物剜除术后一年无复发，使用假体后美容效果满意。
在开始治疗前进行组织学诊断至关重要，以便使用正确的放射剂量。
