眼眶原发性脂肪肉瘤1例及临床病理分析

A case of primary liposarcoma of orbit and clinicopathological analysis

本文报道滨州医学院附属医院1例眼眶原发性高分化脂肪肉瘤(WDLS)患者。患者为52岁男性,因“发现左眼肿物生长4年”入院。体格检查发现左眼无光感、眼眶突出、眼睑无法闭合、眼球移位固定于颞上方,结膜高度充血水肿。影像学示左侧眼眶内见一较大类椭圆形混杂密度影,边界尚清。入院后予左眼眶占位完整切除,病理提示WDLS。

The paper reported a case of primary well-differentiated liposarcoma of orbit in Binzhou Medical University Hospital.The patient was a 52-year-old man with a 4-year history of mass growth in the left eye.Ocular examination revealed a sense of no light,orbital protrusion,inability to close the eyelids,displacement of the eyeball fixed above the temporal,and obvious conjunctival hyperemia and edema in the left eye.Imaging showed a large ellipselike mixed density shadow in the left orbit with clear boundary.Thus,an orbital tumorectomy was performed,and the diagnosis of well-differentiated liposarcoma was confirmed by histopathological examination.