Orbital Tumors


Authors: P. Vachata 1,2;  L. Zikmund 3;  J. Kozák 1;  F. Cihlář 4;  D. Šulc 5;  M. Sameš 1,2
Authors‘ workplace: Neurochirurgická klinika UJEP a Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. 1;  Skull base center Class A, World Federation of Neurosurgical Societies, Ústí nad Labem 2;  Oční klinika UJEP a Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. 3;  Radiodiagnostické oddělení, Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. 4;  Komplexní onkologické centrum, Radioterapeutické oddělení, Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. 5
Published in: Cesk Slov Neurol N 2015; 78/111(6): 617-638
Category: Minimonography
doi: 10.14735/amcsnn2015617

Overview

Orbital tumors constitute a relatively rare and heterogeneous group of lesions, either originating in the orbit or with secondary extension into the bony orbital margins. Primary orbital tumors are scarcer and usually benign, while secondary tumors are usually malignant. Metastases may be found anywhere in the wall of the orbit or inside the orbit. The most common symptoms include exophtalmus, visual impairment and diplopia. CT in combination with MRI are the most useful in the diagnostic algorithm. Therapy aims for long-term management of tumor growth with focus on visual improvement or preservation. Monitoring, surgery, chemotherapy and radiation with respect to histology and staging are all used in combination as it is common in other groups of tumors. Over the past few decades, advances in radiodiagnostics, improved knowledge of the natural course of tumors, more accurate radiosurgical techniques and improved chemotherapy protocols have changed therapeutic algorithms as well as prognosis in many orbital tambours. Multidisciplinary approach in specialized centers shall ensure optimal treatment.

Key words:
orbit – orbital tumor – exophtalmus – orbitotomy

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


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