An analysis of 2,480 space-occupying lesions of the orbit from 1976 to 2011

To evaluate the frequencies of orbital space-occupying lesions seen at single orbital unit in a period of 35 years. In this retrospective case series, the authors reviewed the medical records of 2,480 consecutive patients referred to the authors' Orbital Unit for evaluation of an orbital mass b...

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Published in:	Ophthalmic plastic and reconstructive surgery Vol. 29; no. 2; p. 79
Main Authors:	Bonavolontà, Giulio, Strianese, Diego, Grassi, Piergiacomo, Comune, Chiara, Tranfa, Fausto, Uccello, Giovanni, Iuliano, Adriana
Format:	Journal Article
Language:	English
Published:	United States 01.03.2013
Subjects:	Adult Carcinoma, Basal Cell - epidemiology Carcinoma, Basal Cell - pathology Dermoid Cyst - epidemiology Dermoid Cyst - pathology Female Hemangioma, Cavernous - epidemiology Hemangioma, Cavernous - pathology Humans Italy - epidemiology Lymphoma, Non-Hodgkin - epidemiology Lymphoma, Non-Hodgkin - pathology Male Neoplasm Metastasis Orbital Neoplasms - epidemiology Orbital Neoplasms - pathology Retrospective Studies Italy
ISSN:	1537-2677, 1537-2677
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Abstract	To evaluate the frequencies of orbital space-occupying lesions seen at single orbital unit in a period of 35 years. In this retrospective case series, the authors reviewed the medical records of 2,480 consecutive patients referred to the authors' Orbital Unit for evaluation of an orbital mass between 1976 and 2011. The final diagnosis in each case was established by a combination of history, ocular findings, diagnostic imaging, and histopathologic analysis, when available. The number and percentage of benign and malignant tumors were determinated, also according to the age of the patients and the tumor location within the orbit. This study adhered to the principles of the Declaration of Helsinki. Of the 2,480 lesions, 1,697 (68%) were benign and 783 (32%) were malignant. The most frequent benign tumors were dermoid cyst (14%) and cavernous hemangioma (9%). The most common malignant tumors were non-Hodgkin lymphoma (12%), basal cell carcinoma (3%), and orbital metastases (3%). In patients younger than 60 years, benign tumors are more frequent, whereas in patients older than 60 years, the frequency of malignant tumors increased. Regarding the distribution in the orbit, the most common tumors were dermoid cyst (206 cases) in the upper-outer quadrant, mucocele (155 cases) in the upper-inner quadrant, basal cell epithelioma (35 cases) in the lower-inner quadrant, cavernous hemangioma (68 cases) in the lower-outer quadrant, and meningioma (90 cases) in central space. Most of the tumors were located in the upper-outer quadrant. In the lower-inner quadrant, malignant tumors were more frequent than benign tumors. The authors' findings highlight the distinctive nature of the orbital oncology experience at an ocular oncology department.
AbstractList	To evaluate the frequencies of orbital space-occupying lesions seen at single orbital unit in a period of 35 years.PURPOSETo evaluate the frequencies of orbital space-occupying lesions seen at single orbital unit in a period of 35 years.In this retrospective case series, the authors reviewed the medical records of 2,480 consecutive patients referred to the authors' Orbital Unit for evaluation of an orbital mass between 1976 and 2011. The final diagnosis in each case was established by a combination of history, ocular findings, diagnostic imaging, and histopathologic analysis, when available. The number and percentage of benign and malignant tumors were determinated, also according to the age of the patients and the tumor location within the orbit. This study adhered to the principles of the Declaration of Helsinki.METHODSIn this retrospective case series, the authors reviewed the medical records of 2,480 consecutive patients referred to the authors' Orbital Unit for evaluation of an orbital mass between 1976 and 2011. The final diagnosis in each case was established by a combination of history, ocular findings, diagnostic imaging, and histopathologic analysis, when available. The number and percentage of benign and malignant tumors were determinated, also according to the age of the patients and the tumor location within the orbit. This study adhered to the principles of the Declaration of Helsinki.Of the 2,480 lesions, 1,697 (68%) were benign and 783 (32%) were malignant. The most frequent benign tumors were dermoid cyst (14%) and cavernous hemangioma (9%). The most common malignant tumors were non-Hodgkin lymphoma (12%), basal cell carcinoma (3%), and orbital metastases (3%). In patients younger than 60 years, benign tumors are more frequent, whereas in patients older than 60 years, the frequency of malignant tumors increased. Regarding the distribution in the orbit, the most common tumors were dermoid cyst (206 cases) in the upper-outer quadrant, mucocele (155 cases) in the upper-inner quadrant, basal cell epithelioma (35 cases) in the lower-inner quadrant, cavernous hemangioma (68 cases) in the lower-outer quadrant, and meningioma (90 cases) in central space. Most of the tumors were located in the upper-outer quadrant. In the lower-inner quadrant, malignant tumors were more frequent than benign tumors.RESULTSOf the 2,480 lesions, 1,697 (68%) were benign and 783 (32%) were malignant. The most frequent benign tumors were dermoid cyst (14%) and cavernous hemangioma (9%). The most common malignant tumors were non-Hodgkin lymphoma (12%), basal cell carcinoma (3%), and orbital metastases (3%). In patients younger than 60 years, benign tumors are more frequent, whereas in patients older than 60 years, the frequency of malignant tumors increased. Regarding the distribution in the orbit, the most common tumors were dermoid cyst (206 cases) in the upper-outer quadrant, mucocele (155 cases) in the upper-inner quadrant, basal cell epithelioma (35 cases) in the lower-inner quadrant, cavernous hemangioma (68 cases) in the lower-outer quadrant, and meningioma (90 cases) in central space. Most of the tumors were located in the upper-outer quadrant. In the lower-inner quadrant, malignant tumors were more frequent than benign tumors.The authors' findings highlight the distinctive nature of the orbital oncology experience at an ocular oncology department.CONCLUSIONSThe authors' findings highlight the distinctive nature of the orbital oncology experience at an ocular oncology department. To evaluate the frequencies of orbital space-occupying lesions seen at single orbital unit in a period of 35 years. In this retrospective case series, the authors reviewed the medical records of 2,480 consecutive patients referred to the authors' Orbital Unit for evaluation of an orbital mass between 1976 and 2011. The final diagnosis in each case was established by a combination of history, ocular findings, diagnostic imaging, and histopathologic analysis, when available. The number and percentage of benign and malignant tumors were determinated, also according to the age of the patients and the tumor location within the orbit. This study adhered to the principles of the Declaration of Helsinki. Of the 2,480 lesions, 1,697 (68%) were benign and 783 (32%) were malignant. The most frequent benign tumors were dermoid cyst (14%) and cavernous hemangioma (9%). The most common malignant tumors were non-Hodgkin lymphoma (12%), basal cell carcinoma (3%), and orbital metastases (3%). In patients younger than 60 years, benign tumors are more frequent, whereas in patients older than 60 years, the frequency of malignant tumors increased. Regarding the distribution in the orbit, the most common tumors were dermoid cyst (206 cases) in the upper-outer quadrant, mucocele (155 cases) in the upper-inner quadrant, basal cell epithelioma (35 cases) in the lower-inner quadrant, cavernous hemangioma (68 cases) in the lower-outer quadrant, and meningioma (90 cases) in central space. Most of the tumors were located in the upper-outer quadrant. In the lower-inner quadrant, malignant tumors were more frequent than benign tumors. The authors' findings highlight the distinctive nature of the orbital oncology experience at an ocular oncology department.
Author	Strianese, Diego Uccello, Giovanni Comune, Chiara Iuliano, Adriana Bonavolontà, Giulio Tranfa, Fausto Grassi, Piergiacomo
Author_xml	– sequence: 1 givenname: Giulio surname: Bonavolontà fullname: Bonavolontà, Giulio organization: Orbital Unit, Department of Visual Science, University of Naples Federico II, Napoli, Italy – sequence: 2 givenname: Diego surname: Strianese fullname: Strianese, Diego – sequence: 3 givenname: Piergiacomo surname: Grassi fullname: Grassi, Piergiacomo – sequence: 4 givenname: Chiara surname: Comune fullname: Comune, Chiara – sequence: 5 givenname: Fausto surname: Tranfa fullname: Tranfa, Fausto – sequence: 6 givenname: Giovanni surname: Uccello fullname: Uccello, Giovanni – sequence: 7 givenname: Adriana surname: Iuliano fullname: Iuliano, Adriana
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Snippet	To evaluate the frequencies of orbital space-occupying lesions seen at single orbital unit in a period of 35 years. In this retrospective case series, the... To evaluate the frequencies of orbital space-occupying lesions seen at single orbital unit in a period of 35 years.PURPOSETo evaluate the frequencies of...
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SubjectTerms	Adult Carcinoma, Basal Cell - epidemiology Carcinoma, Basal Cell - pathology Dermoid Cyst - epidemiology Dermoid Cyst - pathology Female Hemangioma, Cavernous - epidemiology Hemangioma, Cavernous - pathology Humans Italy - epidemiology Lymphoma, Non-Hodgkin - epidemiology Lymphoma, Non-Hodgkin - pathology Male Neoplasm Metastasis Orbital Neoplasms - epidemiology Orbital Neoplasms - pathology Retrospective Studies
Title	An analysis of 2,480 space-occupying lesions of the orbit from 1976 to 2011
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