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许××,男,8岁,足月顺产,第二胎,家族史无特殊。患儿于1992年8月被发现左眼球突出,2个月后因左眼球显著突出,以“炎性假瘤”收入当地眼科医院,查视力:右1.2,左0.6。左眼球突出20mm(右14mm)左眼外上方眶缘内可触及质硬包块、睑裂10mm 不能闭合,眼球固定、球结膜水肿、角膜上皮剥脱。于1992年10月21日行眶内肿物切除术,术后眼球复位、睑裂闭合好,球结膜水肿消退、角膜透明、视力:右1.2,左1.2。病理检查报告为“炎性假瘤”。给予强的松5mg 1日2次,口服3个月;环磷酰胺50mg,1日2次,口服1个月。1993年8月患儿左眼球再度突出、迅速显著、视力进行性减退。于1993年10月再次收住当地眼科医院。查视力:右1.2左0.01、左眼球突出26mm(右14mm)左眼外上眶缘内可触及质硬包块,睑裂16mm,不能闭合、球结膜高度水肿、糜烂,角膜溃疡。CT 检查报告为眶内实质性病变,多考虑肿瘤。1993年10月30日第二次行眶内肿物切除术,病理报告仍为炎性假瘤。术后眼球
Xu × ×, male, 8 years old, full term spontaneous, second child, family history no special. The patient was found to have left eyeball protrusion in August 1992, and prominent left eyeball in 2 months later, with “Inflammatory Pseudotumor” at the local ophthalmology hospital for visual acuity: right 1.2, left 0.6. The left eyeball protrudes 20mm (right 14mm) above the left eye outside the orbital rim can reach the mass of hard mass, palpebral fissure 10mm can not be closed, eye fixation, conjunctival edema, corneal epithelial exfoliation. On October 21, 1992 line orbital tumor resection, postoperative ocular resection, palpebral fissure closed, conjunctival edema subsided, corneal transparency, visual acuity: right 1.2, left 1.2. Pathological examination reported as “inflammatory pseudotumor”. Given prednisone 5mg 2 times a day, orally 3 months; cyclophosphamide 50mg, 2 times a day, orally for 1 month. In August 1993, the left eye of the child once again prominently, rapidly significant visual acuity decreased. In October 1993 once again admitted to the local eye hospital. Check visual acuity: the right 1.2 left 0.01, the left eyeball prominent 26mm (right 14mm) left orbital margin of the orbital margin can reach the hard mass, palpebral fissure 16mm, can not be closed, conjunctival highly edema, erosion, corneal ulcer. CT examination report orbital substantive lesions, more consideration of the tumor. October 30, 1993 the second line orbital tumor resection, the pathological report is still inflammatory pseudotumor. Postoperative eyeball