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KMID : 0358819910180030486
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1991 Volume.18 No. 3 p.486 ~ p.493
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TWO RARE MALIGNANT TUMORS IN THE ORBIT
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홍인식/Hong, In Sik
이정윤/안희창/한예식/Lee, Jeong Yoon/Ahm, Hee Chang/Han, Yea Sik
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Abstract
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The malignant tumor called epitheioid sarcoma was named and described by Enzinger(1) in 1970. This is an unique soft tissue sarcoma which typically pursues an indolent, relentless clinical course with numerous recurrences, and frequently culminates in regional lymph node or pulmonary metastasis.
Epithelioid sarcoma usually occurs in the eoti tissue of young adults, particularly involving the hands and forearms, and produces ruultiu dular masses of epithelial-appearing cells having a tendency to grow along fascial pianos, apot,eurosis, and tendon sheaths. Unusual primary sites include the penis and vulva. Adenoid cystic carcinoma is the mast frequent malignant tumor of the lacrimal gland, but it is less than 1 percent of all orbital neoplasms.( 13) It has a significant predisposition to peritreural invasion, which is thought to be responsible for the pain associated with this tumor as well as the difficulties in obtaining clear surgical margins.
The authors have experienced a case of cpicl.Aioid sarcoma which occurred in the left orbit of a 36 year old Korean female. After wide of the tumor mass with exenteration, the reconstruction was performed by rectus abdominis mycentaneous free flap.
Another case was adenoid cystic carcinoma in lacrimal gland which occurred in the left orbit of a 66 year old Korean female. The exenteration and wide excision of the tumor mass in the orbit and epidural space of the front to temporal area was performed through left front to temporal craniotomy and orbit ocygcnnatic ostzctou,y. The orbit and its content were reconstructed immediately with calvarial bone graft and temporalis muscle transfer.
The most important practical joint is that the surgeon and pathologist must that require prompt and adequate radical treatment.
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KEYWORD
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