The structure and clinical features of cranio-orbital and orbital tumors with different histological structure

M.S. Gudim, O.M. Goncharuk, A.A. Oblyvach

Abstract


Background. Cranio-orbital tumors include a wide range of benign and malignant tumors and are poorly understood problem in neuroophtalmology. Materials and methods. There was carried out the retrospective analysis of the results of surgical treatment of patients with cranio-orbital and orbital tumors hospitalized into Kyiv Municipal Clinical Emergency Hospital from 2000 till 2015. Results. We investigated 104 patients with cranio-orbital and orbital tumors. The average age of patients was 46.1 years. There were 26 (23 %) men and 78 (77 %) women. Preoperative visual deficit was observed in 83 (79.8 %) patients. 45 (43.2 %) patients had periorbital pain. 15 (14.4 %) patients had no proptosis, 36 (34.6 %) had mild proptosis (≤ 4 mm), and 52 (51 %) had severe proptosis (> 4 mm). Ocular motions were affected in 32 (30 %) patients, defect of visual fields was found in 15 (24 %) patients. There were different histological types of tumors. They included sphenoorbital meningiomas in 35 (33.6 %), cavernous hemangioma in 19 (18.2 %), optic-nerve gliomas in 9 (8.6 %), optic nerve sheath meningioma in 8 (7.6 %), meningosarcomas in 2 (1.9 %), schwanomas in 5 (4.8 %), neurofibromas in 4 (3.8 %), hemangiopericytomas in 4 (3.8 %), pleomorphic adenomas in 5 (4.8 %), adenocarcinomas of lacrimal gland in 4 (3.8 %), malignant lymphomas of the orbit in 3 (2.8 %), orbital metastases 3 (2.8 %), orbital inflammation in 3 (2.8 %) cases. Duration of symptoms in patients ranged from 2 to 92 months (average 11 months). Conclusions. Modern achievements in neuroimaging improve diagnosis of cranio-orbital and orbitaltumors. In every case of suspicion of cranio-orbital and orbital tumor the examination should be comprehensive and take into account the current guidelines and available information to optimize treatment.

Keywords


cranio-orbital tumors; orbit; computed tomography; magnetic resonance imaging

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DOI: https://doi.org/10.22141/2224-0713.2.88.2017.100193

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