Abstract
Solitary fibrous tumors are rare mesenchymal tumors that may involve the orbit. Orbital solitary fibrous tumors are generally removed via an external orbitotomy. A 64-year-old woman with a history of breast cancer was examined for a 6-month history of gradual painless loss of vision in the right eye and evidence of a retrobulbar optic neuropathy. Imaging revealed a posterior medial orbital mass. Initial endoscopic biopsy demonstrated histopathologic changes consistent with a solitary fibrous tumor. The patient subsequently underwent an image-guided, transnasal, endoscopic resection of the tumor using the LandmarX system (Medtronics, Minneapolis, MN, U.S.A.). Three weeks after surgery, her visual acuity and visual field had returned to normal, and they remained normal for 2 years with no neuroimaging evidence of recurrent tumor. The transnasal endoscopic technique is useful in both biopsy and removal of posterior medial orbital lesions, particularly when a computer-assisted image guidance system is used. This approach should be added to the armamentarium of surgical approaches to orbital lesions.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 65-67 |
| Number of pages | 3 |
| Journal | Ophthalmic Plastic and Reconstructive Surgery |
| Volume | 24 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2008 |
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ASJC Scopus subject areas
- Ophthalmology
- Surgery
Cite this
Image-guided transnasal endoscopic resection of an orbital solitary fibrous tumor. / Miller, Neil R; Agrawal, Nishant; Sciubba, James J.; Lane, Andrew P.
In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 24, No. 1, 01.2008, p. 65-67.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Image-guided transnasal endoscopic resection of an orbital solitary fibrous tumor
AU - Miller, Neil R
AU - Agrawal, Nishant
AU - Sciubba, James J.
AU - Lane, Andrew P
PY - 2008/1
Y1 - 2008/1
N2 - Solitary fibrous tumors are rare mesenchymal tumors that may involve the orbit. Orbital solitary fibrous tumors are generally removed via an external orbitotomy. A 64-year-old woman with a history of breast cancer was examined for a 6-month history of gradual painless loss of vision in the right eye and evidence of a retrobulbar optic neuropathy. Imaging revealed a posterior medial orbital mass. Initial endoscopic biopsy demonstrated histopathologic changes consistent with a solitary fibrous tumor. The patient subsequently underwent an image-guided, transnasal, endoscopic resection of the tumor using the LandmarX system (Medtronics, Minneapolis, MN, U.S.A.). Three weeks after surgery, her visual acuity and visual field had returned to normal, and they remained normal for 2 years with no neuroimaging evidence of recurrent tumor. The transnasal endoscopic technique is useful in both biopsy and removal of posterior medial orbital lesions, particularly when a computer-assisted image guidance system is used. This approach should be added to the armamentarium of surgical approaches to orbital lesions.
AB - Solitary fibrous tumors are rare mesenchymal tumors that may involve the orbit. Orbital solitary fibrous tumors are generally removed via an external orbitotomy. A 64-year-old woman with a history of breast cancer was examined for a 6-month history of gradual painless loss of vision in the right eye and evidence of a retrobulbar optic neuropathy. Imaging revealed a posterior medial orbital mass. Initial endoscopic biopsy demonstrated histopathologic changes consistent with a solitary fibrous tumor. The patient subsequently underwent an image-guided, transnasal, endoscopic resection of the tumor using the LandmarX system (Medtronics, Minneapolis, MN, U.S.A.). Three weeks after surgery, her visual acuity and visual field had returned to normal, and they remained normal for 2 years with no neuroimaging evidence of recurrent tumor. The transnasal endoscopic technique is useful in both biopsy and removal of posterior medial orbital lesions, particularly when a computer-assisted image guidance system is used. This approach should be added to the armamentarium of surgical approaches to orbital lesions.
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U2 - 10.1097/IOP.0b013e31815faa9d
DO - 10.1097/IOP.0b013e31815faa9d
M3 - Article
C2 - 18209653
AN - SCOPUS:38349143699
VL - 24
SP - 65
EP - 67
JO - Ophthalmic Plastic and Reconstructive Surgery
JF - Ophthalmic Plastic and Reconstructive Surgery
SN - 0740-9303
IS - 1
ER -