眼眶平滑肌肉瘤1例

Primary orbital leiomyosarcoma: a case report

20岁青年女性因右眼渐进性突出3个月就诊。检查发现右眼球后巨大肿物,临床诊断为右眼眶占位性病变。因肿物紧靠神经,故行肿物大部分切除,组织病理学确诊为平滑肌肉瘤,低分化型。再次手术行眼眶内容摘除。术后密切随访,未行其他治疗,随访10年无复发。

A 20-year-old girl came to the Tianjin Medical University Eye Hospital because of progressive herniation of her right eye for 3 months.Examination revealed a huge mass behind the right eyeball,which was clinically diagnosed as a space-occupying lesion of the right orbit.Because the tumor was close to the nerve,most of the tumor was resected and pathologically diagnosed as a poorly differentiated leiomyosarcoma.Orbital evisceration was performed later.There was no recurrence during the 10-year follow-up.