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Radiation therapy for recurrent orbital hemangioma
Michelle L Mierzwa1, William L Barrett, Jack L Gluckman
1Division of Radiation Oncology, Barrett Center for Cancer Prevention, Treatment and Research, 234 Goodman Street, University of Cincinnati Medical Center, PO Box 670757, Cincinnati, Ohio 45267-0757, USA.
Head & Neck
|April 15, 2003
Summary
Radiation therapy offers a safe and effective treatment for unresectable orbital hemangioma, even after surgery. This approach can lead to significant tumor regression without causing radiation-induced complications.
Area of Science:
- Ophthalmology
- Radiation Oncology
- Medical Imaging
Background:
- Traditional treatments for orbital hemangioma include surgical resection and corticosteroids.
- Radiation therapy is typically avoided due to risks of ocular complications.
- Modern radiation techniques may mitigate these risks.
Observation:
- A case of unresectable, recurrent orbital hemangioma presented with pain, diplopia, and proptosis.
- Imaging confirmed a large, irregular mass consistent with hemangioma.
- Previous surgical intervention had failed.
Findings:
- The patient received 2000 cGy of radiation therapy in 10 treatments.
- A 5-year follow-up showed a stable, regressed hemangioma.
- No significant radiation-induced complications were observed.
Implications:
- Radiation therapy is a viable option for function-threatening orbital hemangioma.
- Careful patient selection and modern techniques are crucial for safe and effective treatment.
- This case highlights the potential of radiation in managing complex orbital tumors.