Günalp I, Gündüz K
Ocular Oncology Department, Faculty of Medicine, Ankara University, Turkey.
Int Ophthalmol. 1996;20(5):273-7. doi: 10.1007/BF00131923.
BACKGROUND/AIMS: Cystic lesions of the orbit constitute a group of lesions with diverse clinical findings, histopathologic features and pathogenesis.
We reviewed the histopathologic and clinical records on 128 orbital cystic lesions diagnosed during a 32-year period from 1963 to 1995.
Of the 128 orbital cystic lesions, dermoid cysts were the most frequent (38 cases, 29.7%). The other lesions, in decreasing order of frequency, were hydatid cysts (33 cases, 25.8%), mucoceles (31 cases, 24.2%), pyoceles (10 cases, 7.8%), meningoencephaloceles (9 cases, 7.0%), epidermal inclusion cysts (4 cases, 3.1%), hematoceles (2 cases, 1.6%) and teratoma (one case, 0.8%).
Our review showed that 64.1% of patients with cystic lesions were aged 18 years or less. With the exception of mucopyoceles, all the other cystic lesions were more frequent in pediatric patients. Cystic lesions behaved clinically as benign lesions. At a mean follow-up of 6.7 years we did not observe development of malignancy in any of the cystic tumor cases though variable degrees of vision loss developed due to factors such as optic nerve compression, ocular damage and amblyopia.
背景/目的：眼眶囊性病变是一组具有多样临床表现、组织病理学特征及发病机制的病变。
我们回顾了1963年至1995年这32年间诊断的128例眼眶囊性病变的组织病理学及临床记录。
在128例眼眶囊性病变中，皮样囊肿最为常见（38例，占29.7%）。其他病变按发生频率由高到低依次为包虫囊肿（33例，占25.8%）、黏液囊肿（31例，占24.2%）、脓性囊肿（10例，占7.8%）、脑膜脑膨出（9例，占7.0%）、表皮样囊肿（4例，占3.1%）、血肿（2例，占1.6%）和畸胎瘤（1例，占0.8%）。
我们的回顾显示，64.1%的囊性病变患者年龄在18岁及以下。除黏液脓性囊肿外，所有其他囊性病变在儿童患者中更为常见。囊性病变在临床上表现为良性病变。平均随访6.7年，我们未观察到任何囊性肿瘤病例发生恶变，不过由于视神经受压、眼部损伤及弱视等因素，出现了不同程度的视力丧失。
