Podcast
Questions and Answers
A surgeon is planning the removal of an orbital tumor. Which type of tumor would offer the most predictable dissection due to its well-defined borders?
A surgeon is planning the removal of an orbital tumor. Which type of tumor would offer the most predictable dissection due to its well-defined borders?
- Cavernous hemangioma
- Pleomorphic adenoma (correct)
- Capillary hemangioma
- Lymphangioma
A 6-year-old child presents with a suspected orbital tumor. Imaging reveals an unencapsulated mass. Which vascular tumor is most likely?
A 6-year-old child presents with a suspected orbital tumor. Imaging reveals an unencapsulated mass. Which vascular tumor is most likely?
- Neurilemmoma
- Metastatic tumor
- Capillary hemangioma (correct)
- Cavernous hemangioma
An adult patient is diagnosed with a benign orbital tumor. The tumor is encapsulated. Which of the following is most likely?
An adult patient is diagnosed with a benign orbital tumor. The tumor is encapsulated. Which of the following is most likely?
- Non-Hodgkin lymphoma
- Capillary hemangioma
- Lymphangioma
- Cavernous hemangioma (correct)
Non-Hodgkin lymphoma affecting the orbit is classified according to which system?
Non-Hodgkin lymphoma affecting the orbit is classified according to which system?
A patient with prostate carcinoma develops orbital symptoms. How might this metastatic tumor present?
A patient with prostate carcinoma develops orbital symptoms. How might this metastatic tumor present?
Periorbital ecchymoses in a child might suggest metastasis of which tumor?
Periorbital ecchymoses in a child might suggest metastasis of which tumor?
Which of the following orbital tumors is NOT typically encapsulated?
Which of the following orbital tumors is NOT typically encapsulated?
If a primary orbital malignancy arises from the lacrimal gland, how is it typically classified?
If a primary orbital malignancy arises from the lacrimal gland, how is it typically classified?
Which characteristic makes encapsulated orbital tumors surgically important?
Which characteristic makes encapsulated orbital tumors surgically important?
A pathologist identifies neoplastic cells in an orbital biopsy. The cells are determined to be of lymphatic origin. Which diagnosis is most likely?
A pathologist identifies neoplastic cells in an orbital biopsy. The cells are determined to be of lymphatic origin. Which diagnosis is most likely?
A 45-year-old patient presents with gradually increasing proptosis and diplopia. Imaging reveals a well-defined, encapsulated mass in the orbit. Which vascular tumor is most likely?
A 45-year-old patient presents with gradually increasing proptosis and diplopia. Imaging reveals a well-defined, encapsulated mass in the orbit. Which vascular tumor is most likely?
A child presents with sudden periorbital ecchymoses after a minor trauma. Further examination reveals an orbital mass. Which of the following metastatic tumors should be suspected?
A child presents with sudden periorbital ecchymoses after a minor trauma. Further examination reveals an orbital mass. Which of the following metastatic tumors should be suspected?
Which orbital malignancy is classified using a system similar to that used for salivary gland tumors?
Which orbital malignancy is classified using a system similar to that used for salivary gland tumors?
An adult patient presents with unilateral proptosis and a palpable mass in the lacrimal gland region. Which encapsulated tumor should be included in the differential diagnosis?
An adult patient presents with unilateral proptosis and a palpable mass in the lacrimal gland region. Which encapsulated tumor should be included in the differential diagnosis?
A patient is diagnosed with Non-Hodgkin Lymphoma (NHL) affecting the orbit. What is a typical characteristic that can be observed?
A patient is diagnosed with Non-Hodgkin Lymphoma (NHL) affecting the orbit. What is a typical characteristic that can be observed?
A 70-year-old male presents with new-onset orbital inflammation that is unresponsive to typical treatments. Imaging reveals a mass in the orbit. Which metastatic tumor should be highly suspected?
A 70-year-old male presents with new-onset orbital inflammation that is unresponsive to typical treatments. Imaging reveals a mass in the orbit. Which metastatic tumor should be highly suspected?
In a child presenting with periorbital ecchymoses, which imaging modality would be most helpful in differentiating between a vascular tumor and metastatic neuroblastoma or Wilms tumor?
In a child presenting with periorbital ecchymoses, which imaging modality would be most helpful in differentiating between a vascular tumor and metastatic neuroblastoma or Wilms tumor?
Which aspect of cavernous hemangiomas makes them preferable for surgical removal, compared to lymphangiomas?
Which aspect of cavernous hemangiomas makes them preferable for surgical removal, compared to lymphangiomas?
In the classification of primary orbital malignancies, what is the significance of determining the parent tissue of origin?
In the classification of primary orbital malignancies, what is the significance of determining the parent tissue of origin?
A patient presents with gradual proptosis, diplopia, and a palpable orbital mass. The mass appears to be well circumscribed on imaging. Which of the following should be prioritized in the differential diagnosis?
A patient presents with gradual proptosis, diplopia, and a palpable orbital mass. The mass appears to be well circumscribed on imaging. Which of the following should be prioritized in the differential diagnosis?
Flashcards
Capillary Hemangioma
Capillary Hemangioma
Most common primary orbital tumors, often unencapsulated in infancy/childhood.
Lymphangioma
Lymphangioma
Unencapsulated vascular tumors of the orbit.
Cavernous Hemangioma
Cavernous Hemangioma
Encapsulated vascular tumors typically found in adults.
Encapsulated Tumors
Encapsulated Tumors
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Pleomorphic Adenoma
Pleomorphic Adenoma
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Dermoid Cyst
Dermoid Cyst
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Neurilemmoma
Neurilemmoma
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Non-Hodgkin Lymphoma (NHL)
Non-Hodgkin Lymphoma (NHL)
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Primary Orbital Malignancies
Primary Orbital Malignancies
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Metastatic Tumors
Metastatic Tumors
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Neuroblastoma/Wilms Tumor
Neuroblastoma/Wilms Tumor
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Study Notes
- Neoplasms of the orbit include vascular tumors, encapsulated tumors, lymphoma, primary orbital malignancies, and metastatic tumors.
Vascular Tumors
- These are the most common primary orbital tumors.
- Types include capillary hemangioma, lymphangioma, and cavernous hemangioma.
- Capillary hemangiomas typically occur in infancy or childhood and are unencapsulated.
- Lymphangiomas are also unencapsulated.
- Cavernous hemangiomas usually occur in adults and are encapsulated.
Encapsulated Tumors
- Encapsulation is surgically important due to predictable dissection.
- Examples include:
- Pleomorphic adenoma (lacrimal gland)
- Dermoid cyst
- Neurilemmoma
Lymphoma
- Non-Hodgkin lymphoma (NHL) can affect the entire orbit or specific compartments (e.g., lacrimal gland).
- Classified per the WHO lymphoma classification.
Primary Orbital Malignancies
- Can arise from any orbital tissue.
- Classification is based on the parent tissue.
- Lacrimal gland tumors are classified like salivary gland tumors.
Metastatic Tumors
- These tumors may have unique signs and symptoms.
- Prostate carcinoma can mimic idiopathic orbital inflammation.
- Neuroblastoma and Wilms tumor may cause periorbital ecchymoses due to vascularity.
- Metastatic tumors may invade from adjacent sinuses.
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