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[Choristoma of visual organ in children]
Anna Niwald1, Beata Orawiec, Mirosława Grałek
1Kliniki Okulistyki Dzieciecej Katedry Pediatrii Zabiegowej Uniwersytetu Medycznego w todzi Z SP ZOZ Uniwersyteckiego Szpitala Klinicznego nr 4 Uniwersytetu Medycznego w Łodzi.
Insights
This study details the clinical and histopathological features of choristoma tumors in children, finding surgical treatment to be effective for both therapeutic and cosmetic outcomes in these ocular growths.
Area of Science:
- Ophthalmology
- Pediatric Oncology
- Surgical Pathology
Context:
- Choristomas are congenital tumors composed of tissue elements normally found in other locations.
- Ocular choristomas in children present unique diagnostic and management challenges.
- Understanding the diverse clinical presentations and histopathological subtypes is crucial for effective treatment.
Purpose:
- To characterize the clinical and histopathological features of ocular choristomas in pediatric patients.
- To evaluate the outcomes of surgical interventions for choristoma tumors affecting the eye and surrounding structures.
- To correlate histopathological findings with clinical presentation and surgical results.
Summary:
- The study analyzed 23 children with ocular or periorbital choristomas, with tumors located intraocularly (43.5%) or periorbitally (56.5%).
- Histopathological examination revealed dermoids (73.9%) and dermolipomas (26.1%) as the primary types.
- Surgical excision achieved satisfactory therapeutic and cosmetic results for all treated choristomas, with complete removal in most cases.
Impact:
- Provides a comprehensive overview of pediatric ocular choristomas, aiding in diagnosis and treatment planning.
- Highlights the efficacy of surgical management for improving visual function and aesthetic outcomes.
- Contributes to the understanding of the epidemiology and pathology of these rare pediatric tumors.
Purpose:
The aim of this study was to present the clinical and histopathological characteristics of choristoma tumors of the eye in children and to estimate the surgical treatment.
Material And Methods:
The study comprised 23 children with choristoma of visual organ including 10 girls (43.5%) and 13 boys (56.5%) in age between 2 months and 16 years, hospitalized in Department of Pediatrics Ophthalmology between 1999 and 2005. Complete ophtalmological examination and ultrasonography of eyeballs and orbital cavity was performed. In each case surgical procedure was implemented and the operated neoplastic changes were verified histopathologically.
Results:
The tumors were placed within the eyeball in 10 children (43.5%) including corneal limbus placement in 4 children (40%), epibulbar placement with orbital cavity penetration in 5 children (50%) and one patient was diagnosed with lacrimal caruncule tumor (10%). Periorbital choristoma was diagnosed in 13 children (56.5%), while in 9 of them (69.2%), the tumor was placed within the upper lid and in case of 3 (23.1%), the tumor crossed orbital cavity septum and in one patient (7.6%) penetrated towards temporal cranial fossa. The eyeball tumors were entirely removed in 6 children (60%). In 4 children (40%) the surgical procedure was limited to excision of anterior parts of the changes protruding to the orbital cavity. The excision of palpebral, palpebral-orbital and palpebral-cranial tumors was complete (100%). Histopathological examination showed dermoids in 17 children (73.9%), including epidermal cyst in 13 patients (76.5%) and dermoid cyst in 4 patients (23.5%). Additionally, dermolipoma tumors were diagnosed in 6 children (26.1%).
Conclusions:
Choristoma tumors are characteristically placed within the organ of vision and have characteristic clinical picture. Both therapeutic and cosmetic results of surgical treatment of choristoma in children were satisfactory.
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