Orbital tumors in USA: Difference in survival patterns

Hassan, Waleed M.; Alfaar, Ahmad Samir; Bakry, Mohammed; Ezzat, Sameera

doi:10.1016/j.canep.2014.07.001

Cited by 16 publications

(8 citation statements)

References 47 publications

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“…The spectrum of pathology is broad, and the potential operative approaches are numerous. [11][12][13] There is no consensus on the choice of surgical approach. [14][15][16][17] We collaborated with a neurosurgeon, and an ophthalmologist to treat these patients on a case-by-case basis.…”

Section: Discussionmentioning

confidence: 99%

Surgical Techniques and the Choice of Operative Approach for Cranioorbital Lesions

Huang

Cai

et al. 2019

J Neurol Surg B Skull Base

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Objectives Cranioorbital lesions present a great challenge for neurosurgeons and ophthalmologists. There is no consensus on the choice of surgical approach. The aims of this study were to investigate 49 cases of cranioorbital lesions and evaluate surgical approaches and outcomes. Patients and Methods A retrospective study was done on 49 patients (51 operations) from 2009 to 2018. Information about the lesion was used to decide whether the supraorbital eyebrow approach (SEA) or pterional approach (PA) was performed. Results Twenty-eight patients had surgical resection using SEA, 21 patients received PA, each group included one case of recurrence, who underwent reoperation via the same approach. SEA provided better cosmetic satisfaction, and a shorter incision than PA (p < 0.05). There was no significant difference in total resection rates, visual outcomes, recovery of ptosis, and other new surgical-related complications between SEA group and PA group (p > 0.05). Forty-nine cases of proptosis (94.1%, 49/51) were improved. Thirty-three patients (33/37, 89.2%) who underwent follow-up for longer than 12 weeks had a modified Rankin Scale (mRS) score ≤ 3. Conclusion Surgery is the preferred treatment for cranioorbital lesions, but total resection is difficult. SEA may be a more minimally invasive option for some more limited lesions superior to optic nerve. PA may be more reasonable for the lesion with obvious hyperostosis and more extensive lesions.

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Section: Discussionmentioning

confidence: 99%

Surgical Techniques and the Choice of Operative Approach for Cranioorbital Lesions

Huang

Cai

et al. 2019

J Neurol Surg B Skull Base

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“…Whole-body (18F)-FDG PET/CT may be useful in detecting metastases of rhabdomyosarcoma that are not clinically evident and upstaging in comparison with MRI staging (lymph node and osseous metastases) has been reported previously 19. PET/CT has thus been proven a meaningful tool in the staging of carcinoma and rhabdomyosarcoma 20. In the child with rhabdomyosarcoma in this study, PET/CT was successfully employed for staging (exclusion of further distant metastasis) and restaging after chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

Combined positron emission tomography/computed tomography (PET/CT) for imaging of orbital tumours and tumours extending into the orbit

et al. 2016

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PET/CT is a sensitive tool for the detection and localisation of orbital masses, enabling assessment of both morphology and cell metabolism. Detailed imaging of the head and neck region with a small field-of-view should be performed when suspecting lymphatic metastases. As metastatic disease to the orbit is associated with advanced disease, focus should be laid on whole-body imaging for staging of these patients. Different radiopharmaceutical tracers can be applied to distinguish the origin of orbital metastases.

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“…5,6 The data extracted from the Surveillance, Epidemiology, and End Results database show that the best relative survival of the common orbital neoplasms, including uveal melanoma, lacrimal gland tumor, and sinonasal malignancies with orbital involvement, was noted in patients treated with surgery or a combination of surgery and chemoradiotherapy. [7][8][9][10][11] Given the multidisciplinary medical advancements in treating orbital neoplasms, there is an increasing number of survivors who require surveillance imaging to monitor local disease control and treatment response, and to detect early recurrence and guide subsequent management. [10][11][12][13] Other common orbital procedures include orbital decompression for thyroid orbitopathy and maxillofacial orbital reconstruction in the setting of trauma.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9][10][11] Given the multidisciplinary medical advancements in treating orbital neoplasms, there is an increasing number of survivors who require surveillance imaging to monitor local disease control and treatment response, and to detect early recurrence and guide subsequent management. [10][11][12][13] Other common orbital procedures include orbital decompression for thyroid orbitopathy and maxillofacial orbital reconstruction in the setting of trauma. This article is not meant to be encyclopedic, and is intended only to provide pertinent information relevant to the imaging evaluation of the commonly encountered orbital procedures, outlined in Table 1.…”

Section: Introductionmentioning

confidence: 99%