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首页> 外文期刊>Clinical Medicine Insights: Case Reports >Juvenile Xanthogranuloma Presenting as Bilateral Non-Infiltrative Extraconal Superior Orbital Tumour in a 27 Year Old Nigerian Woman: Features, Management and Outcome
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Juvenile Xanthogranuloma Presenting as Bilateral Non-Infiltrative Extraconal Superior Orbital Tumour in a 27 Year Old Nigerian Woman: Features, Management and Outcome

机译：表现为双侧非浸润性圆锥外上眶上肿瘤的27岁尼日利亚女性少年黄原肉肉瘤：特征，管理和结果。

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Introduction: Orbital masses in adults are often caused by systemic diseases or are associated with systemic manifestations. Juvenile xanthogranuloma as a cause is rare and unreported in Africa. We present clinical features, management, and outcomes of bilateral orbital adult onset juvenile xanthogranuloma.Case Presentation: A 27 year old Nigerian woman presented with bilateral upper-lid lumps having lasted 5 months. These increased in size for about 1 month and stopped. Lid swelling was preceded by itchy eyes, redness of conjunctiva, and occasional mild pain. There were no visual or systemic symptoms. The lumps were firm, slightly mobile, not tender, and not attached to skin but rather to deeper structures. There was restriction on up-gaze but no proptosis or diplopia. Hematological, biochemical, and X-ray investigations were normal. Prednisolone tablets 10 mg daily for two weeks were not useful. Tissue biopsy was invaluable in diagnosis of this rare condition and disclosed juvenile xanthogranuloma. Partial surgical excision was done under lidocaine infiltration. No recurrence has occurred in 40 months of follow-up. No systemic disease has manifested.Conclusion: Juvenile xanthogranuloma can present as bilateral superior orbital tumor in adults; functional and cosmetic aims were achieved by sub-total excision.
机译：简介：成人眼眶肿块通常是由系统疾病引起的，或与系统表现有关。在非洲，少见的黄原性肉芽肿是少见的原因。我们介绍了双侧眼眶成人成年少年黄肉芽肿的临床特征，治疗和预后。病例报告：一名27岁的尼日利亚妇女，伴有持续5个月的双侧上睑肿块。它们的大小增加了大约1个月，并且停止了。眼睑发痒，结膜发红和偶发轻度疼痛是眼睑肿胀的先兆。没有视觉或全身症状。肿块牢固，略微移动，不嫩，不附着在皮肤上而是更深的结构上。视线受到限制，但没有眼球突出或复视。血液学，生化和X射线检查正常。每天泼尼松龙片10毫克，持续两周没有用。组织活检对这种罕见病的诊断具有重要价值，并已公开了青少年黄原肉芽肿瘤。在利多卡因浸润下进行部分手术切除。随访40个月未发生复发。结论：未成年人黄原肉芽肿可表现为成年人的双侧眶上肿瘤。功能和美容目的是通过小计切除来实现的。

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