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Page 1: journal.gums.ac.irjournal.gums.ac.ir/article-1-283-fa.pdf · 321# $%& % ' ( ) * + &,-. / 0 " ! ! 74 5 ) 0 6

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كيدهچاين تومور دوطرفه . شودصورت تدريجاً پيشرونده با پروپتوز محوري بدون درد و التهاب ظاهر ميترين تومور عروقي اوربيت است كه بههمانژيوم كاورنو، شايع:مقدمه

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سه ضايعه مجزا با تراكم باال در مخروط MRIمود و در ن سال قبل مراجعه 2اي با شكايت از پروپتوز محوري پيشرونده چشم چپ از حدود ساله37 خانم :موردمعرفي

ولوژي، تومور قرار گرفت و در گزارش پاتLateral Orbitotomyها از طريق برش مشاهده گرديد و تحت عمل جراحي خروج توده(Intraconal)عضالني.هاي اين تومور با دقت با عمل جراحي خارج گرديدلوب. لوب مجزا گزارش گرديد3همانژيوم كاورنو با

تواند بصورت چند لوبي در يك اوربيت و يا بصورت دوطرفه ظاهر شود كه مورد فوق از موارد نادر اين بيماري بوده است و لذا همانژيوم كاورنو مي:گيرينتيجه

.شود كه در هنگام جراحي توجه به اين مسئله و خروج كامل تومور يا تومورها صورت گيرد تا از عود مجدد آن جلوگيري به عمل آيدميوصيه ت

كاورنوسهمانژيوم / كاسه چشم/ پروپتوز:هاكليد واژه

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منابع

1.Shields JA. Diagnosis And Management Of Orbital Tumors. Philadelphia; WB Saunders, 1989: 128-132.

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Multilobe Orbital Covernous Hemangioma*Bagheri A.(MD)1- Behboodi H.(MD)2- Hassani H.R. (MD) 1

* Corresponding Author: Ophtal Ward, Shahid Labafinejad Hospital, 9th St., Pasdaran, Tehran, IRAN E- mail: [email protected]

Received: 11/ Dec/ 2008 Accepted: 18 / Jan/ 2009

AbstractIntroduction: Covernous Hemangioma is the most common vascular orbital tumor which appears gradually

progressive with axial proptosis without any pain and inflammation.

This tumor sometimes appears bilateral but very seldom multilobes in one orbit or in the bone.

Case History: In this report we in traduced a 37 years old woman who has complained from progressive axial

proptosis in her left eye for 2 years.

In the MRI examination 3 separated lobes with hyper dense was observed intraconal area which three lobes of tumor

were extracted by surgery through lateral orbitotomy. In the pathologic report of tumor cavernous hemangioma was

confirmed.

Conclusion: Orbital cavernous hemangioma sometimes appears bilaterally and very seldom multilobes in one orbit,

which the last case was very rare. Thus it’s recommended to pay complete attention during operation in order to

remove the tumor entirely to prevent its recurrence.

Key words: Hemangioma, Cavernous/ Orbit/ Proptosis____________________________________Journal of Guilan University of Medical Sciences, No: 68, Pages: 69-74

1. Department of Ophtalmology, Shahid Labafinejad Hospital, 9th St., Pasdaran, Tehran, IRAN 2. Department of Ophtalmology, Amir almomenin Hospital, Guilan University of Medical Sciences, Rasht, IRAN

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