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NR 7-9/2007
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Choristoma narządu
wzroku u dzieci
Choristoma of visual organ
in children
Anna Niwald1, Beata Orawiec1,
Mirosława Grałek2,1
1Z Kliniki Okulistyki Dziecięcej Katedry Pediatrii
Zabiegowej Uniwersytetu Medycznego w Łodzi
Z SP ZOZ Uniwersyteckiego Szpitala Klinicznego nr 4 Uniwersytetu
Medycznego w Łodzi
P.o. kierownik: dr n. med. Anna Niwald
2Z Kliniki Okulistyki Instytutu – Pomnik ,,Centrum
Zdrowia Dziecka” w Warszawie
Kierownik: prof. dr hab. n. med. Mirosława Grałek |
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| Summary: |
Purpose: The aim of
this study was to present the clinical and
histopathological characteristics of choristoma tumors
of the eye in children and to estimate the surgical
treatment.
Material and methods: The study comprised 23
children with choristoma of visual organ including 10
girls (43.5%) and 13 boys (56.5%) in age between 2
months and 16 years, hospitalized in Department of
Pediatrics Ophthalmology between 1999 and 2005. Complete
ophtalmological examination and ultrasonography of
eyeballs and orbital cavity was performed. In each case
surgical procedure was implemented and the operated
neoplastic changes were verified histopathologically.
Results: The tumors were placed within the
eyeball in 10 children (43.5%) including corneal limbus
placement in 4 children (40%), epibulbar placement with
orbital cavity penetration in 5 children (50%) and one
patient was diagnosed with lacrimal caruncule tumor
(10%). Periorbital choristoma was diagnosed in 13
children (56.5%), while in 9 of them (69.2%), the tumor
was placed within the upper lid and in case of 3
(23.1%), the tumor crossed orbital cavity septum and in
one patient (7.6%) penetrated towards temporal cranial
fossa. The eyeball tumors were entirely removed in 6
children (60%). In 4 children (40%) the surgical
procedure was limited to excision of anterior parts of
the changes protruding to the orbital cavity. The
excision of palpebral, palpebral–orbital and palpebral–cranial
tumors was complete (100%). Histopathological
examination showed dermoids in 17 children (73.9%),
including epidermal cyst in 13 patients (76.5%) and
dermoid cyst in 4 patients (23.5%). Additionally,
dermolipoma tumors were diagnosed in 6 children (26.1%).
Conclusions: Choristoma tumors are
characteristically placed within the organ of vision and
have characteristic clinical picture. Both therapeutic
and cosmetic results of surgical treatment of choristoma
in children were satisfactory. |
| Słowa kluczowe: |
choristoma, obraz
kliniczny, leczenie, rozpoznanie histopatologiczne,
dzieci. |
| Key words: |
choristoma, clinical
picture, treatment, histopathological diagnosis,
children. |
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