Jonas, Rahul A., Rokohl, Alexander C., Kakkassery, Vinodh, Ponto, Katharina A., Lohneis, Philipp and Heindl, Ludwig M. (2021). Diagnostics of benign and malignant tumors of the orbit. Ophthalmologe, 118 (10). S. 987 - 995. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0423

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Abstract

Background Orbital space-occupying lesions can have a significant impact on the quality of life. Depending on the dignity and etiology of the mass, they can even represent a life-threatening process, which must be timely treated in an interdisciplinary cooperation. Objective To achieve a comprehensive overview about the diagnostics and frequency of malignant and benign masses of the orbit. Material and methods A literature search was carried out in PubMed and Google scholar. Results and discussion Clinically, orbital lesions can show symptoms, such as exophthalmos with an increase in the vertical lid fissure, visual impairment and motility dysfunction with diplopia. Depending on the extent, an exposure keratopathy can occur due to failure to close the eyelids. For the diagnostics several tests should be carried out. Following a thorough anamnesis and clinical examination, these should include a blood sample to test for various parameters, an ultrasound examination with subsequent computed tomography (CT) in cases of bone involvement or thin slice magnetic resonance imaging (MRI) of the orbit for assessment of soft tissues. In adults an endocrine orbitopathy is the most frequent cause of an inflammatory orbital process, where lymphomas are the most frequent entity among malignant tumors and vascular space-occupying lesions are the most frequent benign tumors. In children the most frequent benign masses are dermoid cysts and rhabdomyosarcoma is the most frequent primary malignant orbital tumor. The multimodal interdisciplinary treatment can include surgical excision and adjuvant radiotherapy or chemotherapy, depending on the entity.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Jonas, Rahul A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rokohl, Alexander C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kakkassery, VinodhUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ponto, Katharina A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lohneis, PhilippUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heindl, Ludwig M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-587215
DOI: 10.1007/s00347-021-01429-x
Journal or Publication Title: Ophthalmologe
Volume: 118
Number: 10
Page Range: S. 987 - 995
Date: 2021
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1433-0423
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
RHABDOMYOSARCOMA; LYMPHOMA; CLASSIFICATION; PROGNOSISMultiple languages
OphthalmologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/58721

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