PDF(Pubmed)
Abstract：
UNASSIGNED: This report details the unusual presentation of two hidden cavernous hemangiomas in the orbital apex, initially appearing as one tumor. The rarity and diagnostic complexity of this case underscore the need for meticulous surgical exploration and verification in orbital apex tumors.
METHODS: A physical examination of an elderly male with a three-year history of headaches revealed a space-occupying lesion in the left orbital apex. Imaging confirmed a tumor in the extraconical space above the optic nerve. Initial nasal endoscopy removed an orbital apex tumor, pathologically confirmed as a cavernous hemangioma.
UNASSIGNED: Postoperative examination revealed incomplete tumor removal, prompting a second surgery for full excision. This case underscores the diagnostic and management challenges of orbital apex tumors, especially when imaging indicates a single mass. The endoscopic transsphenoidal approach for cavernous hemangiomas in the medial orbital apex, as illustrated in this case, appears promising.
CONCLUSIONS: Clinicians must be aware of the potential for multiple tumors in orbital apex cases, even if imaging does not explicitly reveal them. This case highlights the importance of thorough surgical exploration and illustrates the effectiveness of endoscopic methods in intricate orbital apex surgeries.
METHODS: A physical examination of an elderly male with a three-year history of headaches revealed a space-occupying lesion in the left orbital apex. Imaging confirmed a tumor in the extraconical space above the optic nerve. Initial nasal endoscopy removed an orbital apex tumor, pathologically confirmed as a cavernous hemangioma.
UNASSIGNED: Postoperative examination revealed incomplete tumor removal, prompting a second surgery for full excision. This case underscores the diagnostic and management challenges of orbital apex tumors, especially when imaging indicates a single mass. The endoscopic transsphenoidal approach for cavernous hemangiomas in the medial orbital apex, as illustrated in this case, appears promising.
CONCLUSIONS: Clinicians must be aware of the potential for multiple tumors in orbital apex cases, even if imaging does not explicitly reveal them. This case highlights the importance of thorough surgical exploration and illustrates the effectiveness of endoscopic methods in intricate orbital apex surgeries.
摘要：
■本报告详细介绍了眶尖两个隐藏的海绵状血管瘤的异常表现，最初表现为一个肿瘤。这种情况的稀有性和诊断复杂性强调了需要对眶尖肿瘤进行细致的手术探索和验证。
方法：对一名有3年头痛史的老年男性进行体格检查，发现左眶尖部有占位病变。影像学检查证实了视神经上方的外间隙有肿瘤。最初的鼻内窥镜检查切除了眶尖肿瘤，病理证实为海绵状血管瘤。
■术后检查显示肿瘤切除不完全，促使第二次手术进行完全切除。该病例强调了眶尖肿瘤的诊断和治疗挑战，尤其是当成像显示单个肿块时。内镜下经蝶窦入路治疗内侧眶尖海绵状血管瘤，如这个例子所示，似乎很有希望。
结论：临床医生必须意识到眼眶尖部多发肿瘤的可能性，即使成像没有明确揭示它们。此病例突出了彻底手术探查的重要性，并说明了内窥镜方法在复杂的眶尖手术中的有效性。
方法：对一名有3年头痛史的老年男性进行体格检查，发现左眶尖部有占位病变。影像学检查证实了视神经上方的外间隙有肿瘤。最初的鼻内窥镜检查切除了眶尖肿瘤，病理证实为海绵状血管瘤。
■术后检查显示肿瘤切除不完全，促使第二次手术进行完全切除。该病例强调了眶尖肿瘤的诊断和治疗挑战，尤其是当成像显示单个肿块时。内镜下经蝶窦入路治疗内侧眶尖海绵状血管瘤，如这个例子所示，似乎很有希望。
结论：临床医生必须意识到眼眶尖部多发肿瘤的可能性，即使成像没有明确揭示它们。此病例突出了彻底手术探查的重要性，并说明了内窥镜方法在复杂的眶尖手术中的有效性。
