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Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

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Abstract

Pseudotumor orbitae is a rare and uncommon disease including idiopathic benign inflammatory alterations with sudden onset of exophthalmus, reduced eye motility, swelling of soft tissue and heavy pain together with a tumor formation, which may even simulate a neoplastic process. In some situations, its masquerade as a neoplasm is so deceptive as to defy diagnosis until orbitotomy. In any case, a bioptic verification, if possible and assessable, is recommended. A localized inflammatory process with lymphocytic infiltration is often described histologically. However the pathologists sometimes report great difficulties in separating the lesion from a malignant non-Hodgkin’s lymphoma of the orbit. Because morphologic criteria alone may sometimes not allow distinguishing between benign and malignant disease, immunohistochemical examinations are necessary. Diagnosis has to be done using clinical examinations, characteristic CT or MR findings, intensive histologic analysis including immunohistochemic investigations.

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Notter, M., Greven, K.M. (2008). Pseudotumor Orbitae. In: Seegenschmiedt, M.H., Makoski, HB., Trott, KR., Brady, L.W. (eds) Radiotherapy for Non-Malignant Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68943-0_27

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  • DOI: https://doi.org/10.1007/978-3-540-68943-0_27

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