国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (3): 283-288,封三.doi: 10.3760/ cma.j.issn.1673-5803.2022.03.016

• 综述 • 上一篇    

眼眶神经鞘瘤的诊断与治疗

王玮琦, 马建民   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室 100730 
  • 收稿日期:2021-10-01 出版日期:2022-06-22 发布日期:2022-06-22
  • 通讯作者: 马建民,Email:jmma@sina.com
  • 基金资助:
    北京市自然基金课题(7222025);北京市医院管理中心登峰计划专项经费资助(DFL20180201)

Diagnosis and treatment of orbital schwannoma

Wang Weiqi,  Ma Jianmin   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Sciences,  Beijing 100730, China
  • Received:2021-10-01 Online:2022-06-22 Published:2022-06-22
  • Contact: Ma Jianmin, Email: jmma@sina.com
  • Supported by:
    Beijing Natural Science Foundation (7182038); Peak Climbing Program of Beijing Hospital Management Center (DFL20180201)

摘要: 眼眶神经鞘瘤是较常见的眼眶肿瘤,主要临床表现为眼球突出,典型的神经鞘瘤主要由交替分布的 AntoniA型和 AntoniB型瘤细胞组成,大多为AntoniA型瘤细胞。临床诊断以MRI检查作为首选,CT检查作为辅助,后者主要观察肿瘤对周围骨质的影响,病理组织学检查是确诊的金标准。需要注意与海绵状血管瘤、恶性眼眶神经鞘瘤等进行鉴别诊断。手术治疗仍是最有效的疗法,尚未发现更优治疗方法。(国际眼科纵览,2022, 46:283-288,封三)

关键词: 眼眶, 神经鞘瘤

Abstract: Orbital neurilemmoma is one of the most common orbital tumors and commonly presents as proptosis. Typical schwannoma are mainly composed of alternately distributed AntoniA and AntoniB tumor cells, most of which are AntoniA tumor cells. MRI was taken as the first choice on clinical diagnosis, and CT examination as accessory examnation, the latter mainly observing the tumor's effect on the surrounding bone mass.Histopathological examination is the gold standard for diagnosis.Attention needs to be paid to the differential diagnosis with cavernous hemangioma, malignant orbital schwannoma and so on. The most effective treatment is still surgery, and optimal treatment has not yet been found. (Int Rev Ophthalmol, 2022, 46: 283-288, cover III)

Key words: orbit, neurilemmoma