Clinical spectrum and clinicopathological correlation of pediatric orbital tumors : 20 years' experience from a tertiary eye care center

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PURPOSE: To study the epidemiological profile of various pediatric orbital tumors and determine their clinicopathological correlation over 20 years.

METHODS: A retrospective analysis of all pediatric patients with orbital tumors from the medical records between 1995 and 2015 was done. Tumors were categorized based on their cellular origin. Demographic details, clinical and histopathological diagnoses, frequency, and clinicopathological correlation were studied.

RESULTS: A total of 265 pediatric patients with orbital tumors were analyzed, of which 145 (54.7%) patients were males and 120 (45.3%) were females. The mean age was 7 years (median: 6 years; range: 10 days-16 years). The distribution of lesions in each group was as follows: vasculogenic, 76 (28.7%); lipogenic and myxoid, 66 (25%); myogenic, 31 (11.7%); optic nerve and meningeal, 22 (8.3%); lymphoid and lymphoproliferative, 18 (6.8%); secondary orbital tumors, 14 (5.2%); histiocytic, 9 (3.4%); miscellaneous, 9 (3.4%), lacrimal gland, 8 (3%); mesenchymal with neural differentiation, 6 (2%); osseous, 4 (1.5%), and fibrocystic, 2 (0.8%). The most common benign and malignant pediatric orbital tumors were dermoid cysts (65, 24.5%) and rhabdomyosarcoma (31, 11.7%). A statistically significant ( P < 0.0001) clinicopathological correlation was observed in 208 (83.2%) out of 250 biopsy-proven cases.

CONCLUSION: Pediatric orbital neoplasms include a broad spectrum of benign and malignant lesions. Vasculogenic tumors constitute the majority of them, followed by lipogenic and myxoid tumors. A thorough knowledge of the incidence, clinical profile, imaging features, and histopathology of specific orbital tumors aids in accurate diagnosis and their successful management.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:72

Enthalten in:

Indian journal of ophthalmology - 72(2024), 2 vom: 01. Feb., Seite 249-257

Sprache:

Englisch

Beteiligte Personen:

Vijay, Vathsalya [VerfasserIn]
Alam, Md Shahid [VerfasserIn]
Subramanian, Nirmala [VerfasserIn]
Krishnakumar, Subramanian [VerfasserIn]
Biswas, Jyotirmay [VerfasserIn]
Mukherjee, Bipasha [VerfasserIn]

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Date Completed 29.01.2024

Date Revised 17.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.4103/IJO.IJO_495_23

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36590080X