Distinguishing Benign from Malignant Circumscribed Orbital Tumors in Children.

Related Articles

Distinguishing Benign from Malignant Circumscribed Orbital Tumors in Children.

Semin Ophthalmol. 2018;33(1):116-125

Authors: Tu Y, Jakobiec FA, Leung K, Freitag SK

Abstract
An orbital neoplasm in children is an uncommon clinical finding. Clinical suspicion should be based on many factors, including its location, the nature of onset, associated systemic signs and symptoms, family and social histories, examination findings, and radiographic characteristics. We present two cases of young children of similar age with a rapid-onset orbital mass. In both cases, a circumscribed round lesion was found in the superomedial orbit. An orbital schwannoma, a benign and usually slow growing tumor, was found in the first patient. In contrast, the biopsy of the second patient, who was nearly asymptomatic, revealed a rhabdomyosarcoma. In this review, we have explored the differential diagnosis of relatively common circumscribed round orbital tumors in the pediatric population from both the radiographic (magnetic resonance imaging, MRI) and histopathologic perspectives. A review of highly unusual orbital tumors in children is also provided.

PMID: 29144839 [PubMed - indexed for MEDLINE]

http://ift.tt/2Hw1lth