Cockerham K P, Kennerdell J S, Celin S E, Fechter H P
Ophthalmology Service, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.
Ophthalmic Plast Reconstr Surg. 1998 Sep;14(5):370-4. doi: 10.1097/00002341-199809000-00013.
A previously healthy 35-year-old man experiencing slowly progressive, painless proptosis of the right eye. Visual function was normal, but supraduction was limited. Computed tomography revealed a superior, extraconal orbital mass. Subtotal excision was performed, and a diagnosis of liposarcoma was rendered only with expert analysis. Despite subsequent orbital exenteration and postoperative radiation, a local recurrence developed 5 years later. The clinical features that predict recurrence, and management options that may promote longevity, are discussed.
一名35岁既往健康的男性，右眼出现缓慢进展的无痛性眼球突出。视觉功能正常，但上转受限。计算机断层扫描显示眶内上象限肌锥外肿块。进行了次全切除，仅通过专家分析确诊为脂肪肉瘤。尽管随后进行了眶内容剜除术和术后放疗，但5年后仍出现局部复发。本文讨论了预测复发的临床特征以及可能延长生存期的治疗选择。
