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Primary orbital tumors: A review of 122 cases during a 23-year period: A histo-clinical study in material from the ENT Department of the Medical University of Silesia

机译:原发性眼眶肿瘤:在23年的时间里回顾了122例:西里西亚医科大学耳鼻喉科的材料的临床研究

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Background The aim of this study was to investigate the distribution of different types of primary orbital tumors, histopathological diagnosis, and postoperative complications. Material and Methods We analyzed 122 patients (68 women and 54 men) with orbital tumors, hospitalized in the ENT Department of the Medical University of Silesia in Katowice during 1990–2013. The patients were characterized in terms of anatomic, topographical, histopathological, and clinical parameters. The role of diagnostic imagining such as CT, NMR, and fine-needle aspiration (FNB) in preoperative diagnostics is discussed. Results of FNB, cytological, and histopathological examination of the postoperative specimens were compared. Results There were 56 (46%) patients with malignant tumors, 42 (34%) with benign tumors, 19 (16%) with inflammatory tumors, and 5 patients (4%) had other tumors. In cases of malignant tumors, local recurrence up to 5 years was found in 36 (64.3%) cases. In the other 20 (35.7%) cases of malignant tumors, the patients remained under close follow-up in the outpatient clinic, without signs of local recurrence (follow-up 1–17 years). According to histopathological examination, malignant tumors were detected in 45.9% of patients and non-malignant tumor in 34.4% of patients. In 19.7% of patients, inflammatory and other types of tumors were diagnosed. Conclusions We characterized the occurrence and pathological profiles of orbital tumors. The tumor location, histopathological diagnosis, and postoperative complications give us important information for the diagnosis of tumor prior to biopsy or tumor resection and for the determination of the treatment strategy and possible complications after surgery.
机译:背景本研究的目的是研究不同类型的原发性眼眶肿瘤的分布,组织病理学诊断和术后并发症。材料和方法我们分析了1990-2013年在卡托维兹西里西亚医科大学耳鼻喉科住院的122例眼眶肿瘤患者(68例女性和54例男性)。根据解剖学,地形学,组织病理学和临床参数对患者进行了表征。讨论了CT,NMR和细针穿刺(FNB)等诊断成像在术前诊断中的作用。比较术后标本的FNB,细胞学检查和组织病理学检查结果。结果恶性肿瘤患者56例(46%),良性肿瘤42例(34%),炎性肿瘤19例(16%),其他肿瘤5例(4%)。在恶性肿瘤的病例中,在36例(64.3%)的病例中发现了长达5年的局部复发。在其他20例(35.7%)恶性肿瘤病例中,患者仍在门诊接受密切随访,没有局部复发的迹象(随访1至17岁)。根据组织病理学检查,在45.9%的患者中发现了恶性肿瘤,在34.4%的患者中发现了非恶性肿瘤。在19.7%的患者中,诊断出患有炎症和其他类型的肿瘤。结论我们表征了眼眶肿瘤的发生和病理特征。肿瘤的位置,组织病理学诊断和术后并发症为我们提供了重要信息,可为活检或肿瘤切除之前的肿瘤诊断,确定治疗策略和术后可能的并发症提供重要信息。

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