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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ampil FL, Bahrassa FS (1985) Primary orbital lymphomapseudotumor (peudolymphoma): case reports and review of radiotherapy literature. J Surg Oncol 30:91–99
Arthur DW, Zwicker R, Garmon PW, Huang DT, Schmidt-Ulrich RK (1997) Electron/photon matched field technique for treatment of orbital disease. Int J Radiat Oncol Biol Phys 37:469–474
Asao C, Korogi Y, Hotta A, Shimomura O, Kitajima M, Negi A, Takahashi M (1997) Orbital pseudotumors: value of short inversion time inversion-recovery MR imaging. Radiology 202:55–59
Atabay C, Tyutyunikow A, Scalise D (1995) Serum antibodies reactive with eye muscle membrane antigens are detected in patients with nonspecific orbital inflammation. Ophthalmology 102:45–153
Austin-Seymour MM, Donaldson SS, Egbert PR, McDougall IR, Kriss JP (1985) Radiotherapy of lymphoid disease of the orbit. Int J Rad Oncol Biol Phys 11:371–379
Barett NR (1958) Idiopathic mediastinal fibrosis. Br J Surg 46:207–218
Barthold HJ, Harvey A, Markoe AM, Brady LW, Augsburger JJ, Shields JA (1986) Treatment of orbital pseudotumors and lymphoma. Am J Clin Oncol 9:527–532
Birch-Hirschfeld A (1905) Zur Diagnostik und Pathologie der Orbital-Tumoren. Ber Dtsch Ophthalmol Ges 32:127–135
Char PH, Miller T (1993) Orbital pseudotumor: fine-needle biospy and response to therapy. Opthalmology 100 1702–1710
Chavis RM, Garner A, Wright JE (1978) Inflammatory orbital pseudotumor. Arch Ophthalmol 96:1817–1822
Clifton AG, Borgstein RL, Moseley IF, Kendall BE, Shwa PJ (1992) Intracranial extension of orbital pseudotumor. Clin Radiol 45:23–26
Colley T (1935) A case of inflammatory pseudotumor of the orbit. Br J Ophthalmol 19:93–95
Constantinidis J, Zenk J, Steinhart H, Schmidbauer J, Pahl S, Iro H (2000) Diagnosis and therapy of pseudotumors of the orbits. HNO 48:665–670
De Jesus O, Inserni J, Gonzalez A, Colon L (1996) Idiopathic orbital inflammation with intracranial extension. J Neurosurg 85:510–513
Donaldson SS, McDougall IR, Egbert PR, Enzmann DR, Kriss JP (1980) Treatment of orbital pseudotumor (idiopathic orbital inflammation) by radiotherapy. Int J Radiat Oncol Biol Phys 6:79–86
Donaldson SS, Finley DO (1991) Treatment of orbital lymphoid tumors with electron beams. Front Radiat Ther Oncol 25:187–200
Dunbar SE, Linggood RM, Doppke KP, Duby A, Wang C (1990) Conjunctival lymphoma: results and treatment with single anterior electron field — a lens sparing approach. Int J Radiat Oncol Biol Phys 19:249–257
Easton JA, Smith TW (1961) Non-specific granuloma of orbit (“orbital pseudotumor”). J Pathol Bacteriol 82:345–354
Eagle K, King A, Fisher C, Souhami R (1995) Cyclophosphamide induced remission in relapsed, progressice idiopathic oribtal inflammation (“pseudotumor”). Clin Oncol 7:402–404
Fitzpatrick PJ, Macko S (1984) Lymphoreticular tumors of the orbit. Int J Radiat Oncol Biol Phys 10:333–340
Flanders AE, Mafee MF, Rao VM, Choi KH (1989) CT characteristics of orbital pseudotumors and other inflammatory orbital processes. J Comput Assist Tomgr 13:40–47
Fujii H, Fujisada H, Kondo T, Takahashi T, Okada S (1985) Orbital pseudotumor: histopathological classification and treatment. Ophthalmol 190:230–242
Gordon PS, Juillard GJ, Selch MT, Parker RG, Fu YS (1986) Orbital lymphomas and pseudolymphomas: treatment with radiation therapy. Radiology 159:797–799
Gunalp I, Gunduz K, Duruk K (1995/1996) Orbital exenteration: a review of 429 cases. Int Ophthalmol 19:177–184
Harisiadis L, Misisco DJ, Schell MC, Ney A, Wessels B, Ling CC (1987) Irradiation of bilateral orbital lymphoma: a non-coplanar technique with case reports. Radiother Oncol 8:123–128
Henderson JW (ed) (1980) Orbital tumors, 2nd edn. Lymphocytic inflammatory pseudotumor. Brian C. Decker, New York, pp. 512–526
Hogan M (1964) Discussion of prbital tumors. In: Boniuk M (ed) Ocular and adnexal tumors: new and controversial aspect. Mosby, St Louis, pp 447–458
Hohenberg G, Salamonowitz E (1981) Pseudotumoren der Orbita. Strahlentherapie 157:713–716
Iliff CE (1959) Tumors of the eye and adnexa. In: Ward-Hendrick (ed) Tumors of the head and neck. Williams and Wilkings, Baltimore
Isaacson PG, Norton AJ (eds) (1990) Extranodal lymphomas, chapter 7: lymphomas of the ocular adnexa and eye. Churchill Livingstone, Edinburgh, pp. 117–129
Jackson H (1958) Pseudo-tumour of the orbit. Br J Ophthalmol 42:212–224
Jacobiec FM, Jones JS (1979) Orbital inflammations. In: Duane TD (ed) Clinical ophthalmology XII. Mosby, Philadelphia
Jereb B, Lee H, Jakobiec FA, Kutcher J (1984) Radiation therapy of conjunctival and orbital lymphoid tumors. Int J Rad Oncol Biol Phys 10:1013–1019
Jordan DR (1996) Orbital pseudotumors treated with systemic corticosteroids. Ophthalmology 103:1519–1520
Kampik A, Hasenfratz G, Riedel K, Stefani FH (1982) Klinisch-pathologische Korrelation bei der Diagnose lymphoider Pseudotumoren und Lymphomen der Orbita. Fortschritte Ophthal 79:52–55
Keleti D, Flickinger JC, Hobson SR, Mittal BB (1992) Radiotherapy of lymphoproliferative diseases of the orbit: surveillance of 65 cases. Am J Clin Oncol 15:422–427
Kelly AG, Rosas-Uribe A, Kraus ST (1977) Orbital lymphomas and pseudolymphomas: a clinicopathologic study of 11 cases. Am J Clin Pathol 68:377–386
Kennerdell JS, Johnson BL, Deutsch M (1979) Radiation treatment of orbital lymphoid hyperplasia. Ophthalmology 86:942–947
Kennerdell JS (1991) The management of sclerosing nonspecific orbital inflammation. Opthalmic Surg 22:512–518
Kim RY, Roth RE (1978) Radiotherapy of orbital pseudotumor. Radiology 127:507–509
Lanciano R, Fowble B, Sergott RC (1990) Results of radiotherapy for orbital pseudotumor. Int J Radiat Oncol Biol Phys 18:407–411
Leone CR, Lloyd WC II (1985) Treatment protocol for orbital inflammatory disease. Ophthalmology 92:135–1331
Mauriello JA, Flanagan JC (1989) Pseudotumor and lymphoid tumor: distinct pathologic entities. Surv Ophtalmol 34:142–148
McCarthy JM, White VA, Harris G (1993) Idiopathic sclerosing inflammation of the orbit: immunhistologic analysis and comparison with retroperitoneal fibrosis. Mod Pathol 6:581–587
Medeiros JL, Harris NL (1989) Lymphoid infiltrates of the orbit and conjunctiva. Am J Surg Pathol 13:459–471
Mittal BB, Deutsch M, Kennerdell J, Johnson B (1986) Paraocular lymphoid tumors. Radiology 159:793–796
Mombaerts I, Goldschmeding R, Schliengemann RO, Koorneef L (1996) What is orbital pseudotumor? Surv Ophthalmol 41:66–78
Mombaerts I, Schlingemann RO, Goldschmeding R, Koorneef L (1996) Are systemic corticosteroids useful in the management of orbital pseudotumor? Ophthalmology 103:521–528
Mombaerts I, Schliengemann RO, Goldschmeding R, Noorduyn LA, Koorneef L (1996) The surgical management of lacrimal gland pseudotumors. Ophthalmology 103:1619–1627
Mombaerts I, Schliengemann RO, Goldschmeding R, Koorneef L (1996) Idiopathic granulomatous orbital inflammation. Ophthalmology 103:2135–2144
Moro PF (1966) Les pseudotumeurs de l’orbite. Ophthalmologica Basel 151:349–386
Notter M, Kern T, Forrer A, Meister F, Schwegler N (1997) Radiotherapy of pseudotumor orbitae. Front Radiat Ther Oncol 30:180–191
Nugent RA, Rootman J, Robertson WD, Lapointe JS, Harrison PB (1981) Acute orbital pseudotumors: classification and CT-features. AJR 137:957–962
Orcutt JC, Garner A, Henk JM, Wright JE (1983) Treatment of idiopathic inflammatory orbital pseudotumor by radiotherapy. Br J Ophthalmol 67:570–574
Offret G (1939) Les myosites orbitaires. Doin et Cie, Paris, pp 99–112
Order SE, Donaldson SS (eds) (1990) Radiation therapy of benign disease: Lymphoid hyperplasia-Pseudotumor. Springer Berlin Heidelberg New York, pp 156–157
Panas FN (1895) Des pseudoplasmes malins de l’orbite. Arch Ophthalmol 15:529–536
Rao DV, Cosby K, Smith M, Griffith R (1982) Lymphomas and pseudolymphomas of the orbit (abstract). Int J Radiat Oncol Biol Phys [Suppl] 8:114
Rootman J, Nugent R (1982) The classification and management of acute orbital pseudotumors. Ophthalmology 89:1040–1048
Scat Y, Liotet S, Carre F (1996) Etude epidemiologique des tumeurs benignes et des pseudotumeurs inflammatoires de l’oeil et de ses annexes. J Fr Opththalmol 19:514–519
Sergott RC, Gaser JS, Charyulu K (1981) Radiotherapy of idiopathic inflammatory pseudotumor: Indications and results. Arch Ophthalmol 99:853–856
Sigelman J, Jacobiec F (1978) Lymphoid lesions of the conjunctiva: Relation of histopathology and outcome. Ophthalmology 85:818–843
Snijders-Keilholz A, De Keinzer RJW, Goslings BM, Van Dam EWCM, Jansen JTM, Broerse JJ (1996) Probable risk of tumor induction after retro-orbital irradiation for Grave’s ophthalmopathy. Radiother Oncol 38:69–71
Wagner W, Gerding H, Busse H (1992) Pseudotumor orbitae — ein Chamäleon in Diagnostik und Therapie? Strahlenther Onkol 168:528–535
Williamson-Noble FA (1926) Inflammatory pseudo-tumour of the orbit. Br J Ophthalmol 10:65–78
Wirostko E, Johnson L, Wirostko B (1989) Chronic orbital inflammatory disease: parasitisation of orbital leucocytes by mollicute-like organisms. Br J Opthalmol 73:865–870
Wirostko BM, Wirostko E, Wirostko RF (1996) Orbital pseudotumors treated with systemic corticosteroids. Ophthalmology 103:1519–1520
Wotherspoon AC, Diss TC, Pan LX, Schmid C, Kerr-Muir MG, Hardman SL, Isaacson PG (1993) Primary low-grade Bcell lymphoma of the conjunctiva: a mucosa-associated lymphoid tissue type lymphoma. Histopathology 23:417–424
Yamashita K, Kobayashi S, Kando M, Ishikura H, Shibuya Y, Hayasaka S (1995) Elevated anti neutrophil cytoplasmatic antibody titer in a patient with atypical orbital pseudotumor. Ophthalmologica 209:172–175
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-540-68943-0_27
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-62550-6
Online ISBN: 978-3-540-68943-0
eBook Packages: MedicineMedicine (R0)