Orbital neurilemoma with extension through the superior orbital fissure

An otherwise healthy 33-year-old man developed slowly progressive unilateral proptosis. Computed tomography demonstrated a large orbital mass extending posteriorly through the superior orbital fissure. The encapsulated tumor, including the portion within the superior orbital fissure, was completely...

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Bibliographic Details
Published inArchives of ophthalmology (1960) Vol. 104; no. 6; p. 871
Main Authors Shields, J A, Kapustiak, J, Arbizo, V, Augsburger, J J, Schnitzer, R E
Format Journal Article
LanguageEnglish
Published United States 01.06.1986
Subjects
Adult
Diagnosis, Differential
Exophthalmos - pathology
Humans
Male
Neurilemmoma - diagnosis
Neurilemmoma - pathology
Neurilemmoma - surgery
Orbit - pathology
Orbit - surgery
Orbital Neoplasms - diagnosis
Orbital Neoplasms - pathology
Orbital Neoplasms - surgery
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Summary:An otherwise healthy 33-year-old man developed slowly progressive unilateral proptosis. Computed tomography demonstrated a large orbital mass extending posteriorly through the superior orbital fissure. The encapsulated tumor, including the portion within the superior orbital fissure, was completely removed by a lateral orbitotomy. Histopathologic examination revealed a neurilemoma (schwannoma). In spite of extension of the tumor through the superior orbital fissure, the patient had excellent vision and no motility disturbance before or after surgery. The clinical, computed tomographic, histopathologic, and ultrastructural features of this orbital tumor are discussed.
ISSN:0003-9950
DOI:10.1001/archopht.1986.01050180105040