一名儿科患者的巨大眼眶利肌瘤:诊断和治疗难题

M. Castillo Fernández , I. Bakkali El Bakkali , J.I. Sánchez Marín , F.J. Ascaso Puyuelo , P.A. Cisneros Arias , J.M. Castillo Laguarta
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引用次数: 0

摘要

本手稿描述了一例特殊病例,患者是一名 14 岁男性,眶内有一个长期存在的良性肿瘤。肿瘤异常巨大,导致严重的眼球突出,并严重累及眼部肌肉。患者出现眼球突出、完全性眼肌麻痹、自发性眼痛、眼睑无法闭合等症状,从而导致心理困扰。鉴于肿瘤的大小和进展情况,医生为患者实施了右眼眶外切手术,切除了包括肿瘤和眼球在内的所有眼眶内容物。手术的目的是防止肿瘤复发,改善患者的生活质量。组织病理分析证实了眼眶良性肿瘤的诊断。该病例因其演变程度而格外引人关注。为防止复发并确保患者获得最佳治疗效果,有必要对肿瘤进行彻底切除并进行长期随访。该报告凸显了全球医疗保健的差异,以及在不同国家管理罕见眼眶肿瘤的复杂性。
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Leiomioma orbitario gigante en un paciente pediátrico: reto diagnóstico y terapéutico

This manuscript describes an exceptional case of a long-standing orbital leiomyoma in a 14-year-old male. The tumor was unusually large, causing severe proptosis and significant involvement of the ocular muscles. The patient presented with amaurosis, complete ophthalmoplegia, spontaneous eye pain, and the inability to close the eyelids, leading to psychological distress. Due to the tumor's size and progression, a right orbital exenteration was performed to remove all orbital contents, including the tumor and the eyeball. The surgical procedure aimed to prevent tumor recurrence and improve the patient's quality of life. The histopathological analysis confirmed the diagnosis of orbital leiomyoma. This case presents a particular interest due to the degree of evolution it has reached. Complete tumor excision and long-term follow-up are necessary to prevent recurrence and ensure optimal patient outcomes. This report underscores global healthcare disparities and the complexity of managing rare orbital neoplasms in diverse country settings.

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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
109
审稿时长
78 days
期刊介绍: La revista Archivos de la Sociedad Española de Oftalmología, editada mensualmente por la propia Sociedad, tiene como objetivo publicar trabajos de investigación básica y clínica como artículos originales; casos clínicos, innovaciones técnicas y correlaciones clinicopatológicas en forma de comunicaciones cortas; editoriales; revisiones; cartas al editor; comentarios de libros; información de eventos; noticias personales y anuncios comerciales, así como trabajos de temas históricos y motivos inconográficos relacionados con la Oftalmología. El título abreviado es Arch Soc Esp Oftalmol, y debe ser utilizado en bibliografías, notas a pie de página y referencias bibliográficas.
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