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Cavernous Hemangioma of the Bony Orbit

机译：骨轨道的海绵状血管瘤

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Purpose: To study the clinical features, diagnosis and management of intraosseous cavernous hemangioma of the orbit. Methods: Five cases of intraosseous cavernous hemangioma seen in our hospital from Jan 1, 1986 to Dec 31, 2000 were reviewed. Results: Among all five cases, two were male and three were female. The mean age was 47.6 years old, ranging from 39.0 to 55.0 years. The left orbit was affected in 4 cases and the right one in 1 case. The bony involvement occurred in frontal bone (two cases), zygomatic bone (two cases) and sphenoid bone (one case). A painless, slowly enlarging hard bony mass fixed to the bone with no pulsations was the main clinical sign. The x-ray and CT appearance of intraosseous cavernous hemangioma of the orbit were characteristic and usually diagnostic. The differential diagnosis of it included fibrous dysplasia, eosinophilic granuloma, multiple myeloma and metastatic carcinoma. Treatment is local removal of the bone containing the tumor. Conclusions: Intraosseous cavernous hemangioma is a rare tumor of the orbit and usually has good surgical result.
机译：目的：研究眼眶骨内海绵状血管瘤的临床特点，诊断和处理。方法：回顾性分析我院1986年1月1日至2000年12月31日收治的5例骨内海绵状血管瘤的临床资料。结果：5例中，男2例，女3例。平均年龄为47.6岁，范围从39.0至55.0岁。左眼眶受累4例，右眼受累1例。骨受累发生在额骨（2例），zy骨（2例）和蝶骨（1例）。主要的临床体征是无痛，逐渐增大，固定在骨头上且无搏动的硬骨块。眶内骨内海绵状血管瘤的X线和CT表现是特征性的，通常是可诊断的。鉴别诊断包括纤维异常增生，嗜酸性肉芽肿，多发性骨髓瘤和转移性癌。治疗是局部切除含有肿瘤的骨头。结论：骨内海绵状血管瘤是一种罕见的眼眶肿瘤，通常具有良好的手术效果。

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