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Asymptomatic orbital cavernous hemangiomas.

J C Orcutt1, A E Wulc, R P Mills

  • 1Department of Ophthalmology, University of Washington School of Medicine, Seattle 98195.

Ophthalmology
|August 1, 1991
PubMed
Summary
This summary is machine-generated.

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Asymptomatic orbital cavernous hemangiomas incidentally found during neuroimaging do not require surgery. Observation is a safe management alternative for these incidentally discovered tumors.

Area of Science:

  • Neurology
  • Radiology
  • Ophthalmology

Background:

  • Computed tomographic (CT) scanning and magnetic resonance imaging (MRI) are standard for neurologic symptom evaluation.
  • Incidental discovery of asymptomatic orbital tumors during neuroimaging presents management challenges.

Purpose of the Study:

  • To evaluate the management of incidentally discovered asymptomatic orbital cavernous hemangiomas.
  • To determine if observation is a safe alternative to surgical excision for these tumors.

Main Methods:

  • Retrospective review of eleven patients with asymptomatic orbital tumors.
  • Clinical and radiological diagnosis of cavernous hemangiomas.
  • Long-term clinical and neuroradiological follow-up (average 37 months).

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Main Results:

  • No tumor enlargement was observed in any patient during the follow-up period.
  • Cavernous hemangiomas were diagnosed in all eleven patients.
  • Tumors were discovered incidentally during CT or MRI for unrelated neurological symptoms.

Conclusions:

  • Observation is a safe and effective management strategy for asymptomatic orbital cavernous hemangiomas found incidentally.
  • Surgical excision may not be necessary for these incidentally discovered tumors.
  • Further research into the natural history of asymptomatic orbital tumors is warranted.