Massive Orbital Extension of Posterior Uveal Melanomas
作者:
Jerry Shields,
Carol Shields,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1991)
卷期:
Volume 7,
issue 4
页码: 238-251
ISSN:0740-9303
年代: 1991
出版商: OVID
关键词: Enucleation;Extrascleral tumor;Massive orbital extension
数据来源: OVID
摘要:
Among 2, 135 consecutive patients with posterior uveal melanoma who were evaluated clinically in the Ocular Oncology Service of Wills Eye Hospital between February 1974 and December 1986, 123 (5.8%) were found to have some degree of extrascleral extension of the tumor. Ten of the 2.135 patients (0.5%) had massive orbital extension we defined as extrascleral tumor having an estimated volume exceeding 1,000 mm3. Three of these patients were characterized by orbital recurrence sometime after enucleation, whereas seven had massive orbital extension as the initial manifestation of the neoplasm with no prior history of enucleation. These cases of advanced orbital extension are presented in detail with emphasis on clinical features, diagnostic problems, pathologic findings, and follow-up observation. Based on our observations, suggestions are made regarding the diagnosis and management of advanced orbital extension of posterior uveal melanoma.
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