学術雑誌論文 Total Resection With Long-Term Globe Preservation for Optic Pathway Glioma Case Report and Review of the Literature

Masuda, Hiroyuki  ,  Kondo, Kosuke  ,  Nemoto, Masaaki  ,  Fukushima, Daisuke  ,  Ando, Syunpei  ,  Sugo, Nobuo  ,  Harada, Naoyuki

3 ( 2 )  , pp.71 - 74 , 2017-6 , The Medical Society of Toho University
ISSN:21891990
内容記述
Case Report
We report a case of optic pathway glioma (OPG) treated by full resection with long-term globe preservation. A 3-year-old Asian boy with right exophthalmos and visual loss received a diagnosis of right intraorbital tumor at another hospital and was referred to our department. Magnetic resonance images showed a tumor localized from the intraorbital cavity to the optic nerve, without invasion of the globe or optic chiasm. The tumor was fully resected with the optic nerve, and the ophthalmic artery was preserved. After the operation, he was discharged with loss of vision and eye movement disorder but without other complications. The pathological diagnosis was pilocytic astrocytoma. Magnetic resonance images obtained 5 years after the operation confirmed the absence of tumor recurrence, preservation of globe form, and absence of enophthalmos and facial deformity. Total resection is associated with a good prognosis in patients with an anteriorly located optic pathway glioma, as was confirmed in the present case. For cosmetic and psychological reasons, surgical treatment for children should include globe preservation and maintenance of globe blood flow.
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