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1
題名:ORBITAL LIPOSARCOMA--A CASE REPORT     (12點)
眼窩脂肪肉瘤--病例報告
著者:Chih-Wei Shih(施智偉) ;Chen-Tu Wu(吳振都) ;Han-Min Tseng(曾漢民) ;Shu-Lang Liao(廖述朗)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:liposarcoma ; orbit
刊名:中華民國眼科醫學會雜誌
卷期:48卷2期(2009.6)
頁碼:177-182
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一個眼窩脂肪肉瘤,接受腫瘤手術切 除和輔助性放射線治療的病例。 方法:病例報告。 結果:一名二十一歲男性主訴右眼有無痛的眼 球突出兩個月。電腦斷層掃描發現位於右眼窩內側的 眼球後腫瘤。病患接受腫瘤切除手術'最初的組織病 理學診斷是纖維脂肪瘤。術後追蹤發現一復發性腫 瘤,於是病患再次接受腫瘤切除手術。比對這兩次的 切片,最終的病理組織學診斷為分化不全之脂肪肉瘤 (dedifferentiated liposarcoma) 。由於腫瘤於第二次術後 再次復發,病患、接受了右眼窩劑除術(exenteration)以 達到腫瘤的完全切除。手術後病患並接受輔助性的放 射線療法以降低腫瘤擴散的機率。在右眼窩舟l除術三 十八月後,並沒有腫瘤復發或轉移的現象發生。 結論:雖然眼窩脂肪肉瘤很罕見,仍需列入眼窩 腫瘤的鑑別診斷之一。大範圍的切除是最佳的治療方 法。腫瘤切除後的放射線療法可以用來消除殘存或附 庸的病娃。
Purpose: To repo吋a case of orbital liposarcoma treated with tumor excision and complementary radiotherapy. Method: A case repo 內. Result: A 21 year-old male presented with painless proptosis of the right eye for two months. The computed tomography scan showed a retrobulbar mass in the medial orbit. Tumor excision was done and the initial histopathologic diagnosis was fibrolipoma. A recurrent mass was noted later and tumor excision was performed again. Reviewing the serial histopathologic slides led to the diagnosis of dedifferentiated liposarcoma with areas of chondrosarcoma differentiation. Due to tumor recurrence after the second operation, exenteration of the right orbit was done to achieve total tumor removal. Complementary radiotherapy was delivered to reduce the chance of micrometastasis. There was no evidence of local recurrence or distant metastasis 38 months after exenteration. Conclusion: Although rare, orbital liposarcoma should be included in the differential diagnosis of orbital tumors. Wide excision is the treatment of choice. Postoperative radiotherapy could be beneficial for possible residual or satellite lesion.


    

本卷期目次
中華民國眼科醫學會雜誌 48卷2期 (2009.6)
眼後房腫瘤的診斷與治療/ 陳祐瑲洪啟庭林思源蔡明霖
一種簡單的眼瞼下垂手術/ 吳鑑修
KERATOCONUS: DIAGNOSIS AND CONTACT LENS FITTING/ Chung-Ying HuangJiahn-Shing LeeChiun-Ho HouKen-Kuo Lin
THE RESULTS OF CATARACT SURGERY WITH TORIC INTRAOCULAR LENS IMPLANTATION IN PATIENTS WITH ASTIGMATISM/ Yun-Chuan ChenShih-Chun ChaoHung-Yu Lin
PRELIMINARY EXPERIENCE OF OCTYL-2-CYANOACRYLATE (DERMABOND) FOR EPIBLEPHARONCORRECTION IN TAIWAN CHILDREN/ Wei-Yi YehTzu-En WuCheng-Kuo Cheng
台灣地區精神分裂症病患立體感之初探/ 胡信傳蔡明霖曾冬勝高維聰陳南福呂慶祥洪啟庭
台灣一醫學中心青光眼門診病例型態及相關的眼球結構之分析/ 李金蓉藍郁文謝瑞玟
HALLERVORDEN-SPATZ SYNDROME PRESENTING AS BILATERAL OPTIC ATROPHY--A CASE REPORT/ I-Wen PanMuh-Chiou LinShwu-Jiuan Sheu
ORBITAL LIPOSARCOMA--A CASE REPORT/ Chih-Wei ShihChen-Tu WuHan-Min TsengShu-Lang Liao
ORBITAL CELLULITIS FOLLOWING HORDEOLUM IN AN IMMUNOCOMPROMISED PATIENT WITH DIABETES AND BREAST CANCER--A CASE REPORT/ Shwu-Huey LeeJack Yu-Shih LinKai WangSzu-Yuan LinShun-Ling Lin
ISOLATED TROCHLEAR NERVE PALSY ASSOCIATED WITH CAROTID-CAVERNOUS SINUS FISTULA: A CASE REPORT/ Fuh-Shiou ChuangChih-Ming LinI-Hung HseuYan-Kai FanSzu-Yuan Lin
FONSECAEA FUNGAL KERATITIS AFTER RADIAL KERATOTOMY--A CASE REPORT/ Wu-Ping LoChing-Liang KuoMing-Tse KuoPo-chiung Fang
CHRONIC POST-OPERATIVE ENDOPHTHALMITIS CAUSED BY AN UNUSUAL STRAIN--RHIZOBIUM RADIOBACTER/ Yi-Chun YangAn-Fei LiPei-Yu LinFenq-Lih Lee
MACULAR ABNORMALITIES AND TREATMENT AFTER CLEAR CORNEA PHACOEMULSIFICATION--AN OPTICAL COHERENCE TOMOGRAPHY STUDY/ Pin-fang ChenWei-Li ChenChang-Hao YangChung-May Yang
INCONTINENTIA PIGMENTI--A CASE REPORT/ Yu-Chou ChenChi-Wu Chang
ROSAI-DORFMAN DISEASE WITHINTRAOCULAR INVOLVEMENT/ Yi-Lin LiaoLing-Yuh Kao
疑頸部拔罐相關之中心視網膜動脈阻塞症/ 劉又綾黃峻峰羅綸謙陳珊霓
以淚腺腫瘤表現的羅塞-朵夫曼氏症--病例報告/ 蔡守恆高啟祥林智一
 
   
 
   

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