女,54岁。主诉头痛1年,右眼球突出半年。一年前无何诱因,开始头痛,未经治疗。半年后头痛加重,并伴右眼球逐渐外突,患病过程中未出现过呕吐、抽搐。查体:右眼球明显外突,眼眶外侧可见6×5cm大小肿物,有压痛,眉弓外上侧及眉稍部可触及3×2cm骨质缺损,皮肤无异常,肿物无血管性杂音,头低位时肿物无 Female, 54 years old. He complained of a headache for one year and his right eyeball protruded for six months. One year ago there was no incentive to start a headache and it was untreated. Six months later, the headache worsened, and the right eye gradually protruded. No vomiting or convulsions occurred during the illness. Physical examination: The right eye showed a prominent protrusion. A 6×5 cm mass was seen on the outside of the eyelid. There was tenderness. A 3×2 cm bone defect could be touched on the outer side of the eyebrow arch and the minor part of the eyebrow. There was no abnormality in the skin. The tumor had no vascular murmur. In the first low position, there is no mass