RESUMO
The diagnosis of orbital tumour is a challenge to the ophthalmologist. The aim of this paper is to highlight the unusual presentation of lacrimal gland tumours.
Assuntos
Adenoma Pleomorfo/patologia , Adulto , Carcinoma Adenoide Cístico/patologia , Diagnóstico Diferencial , Humanos , Doenças do Aparelho Lacrimal/patologia , Masculino , Pessoa de Meia-IdadeRESUMO
Fourteen cases of orbital rhabdomyosarcoma have been studied. Clinical presentation was by way of short history, fast growing proptosis, inflammatory signs and epistaxis. Computerised tomography showed only a mass lesion without bony involvement and was very useful in follow up. Ultrasonography revealed pseudo-encapsulation of the tumour which is postulated as possibly specific of Rhabdomyosarcoma due to its fast growth, cellular content and oedema fluid. A survival rate of 21% over a 3 year period has been achieved by combined mode therapy consisting of surgery, radiation and chemotherapy.