Publication: Preoperative endovascular embolization of orbital solitary fibrous tumor with 500-700 micron tris-acryl gelatin microspheres
Date
2022-10-01
Authors
Yazıcı, Bülent
Hakyemez, Bahattin
Yazıcı, Zeynep
Yalcinkaya, Ulviye
Authors
Muz, Ömer Ersin
Journal Title
Journal ISSN
Volume Title
Publisher
Galenos Publ House
Abstract
The reported experience with preoperative embolization of solid orbital tumors is scarce. Herein, we present a case of a large and hypervascular orbital solitary fibrous tumor (SFT) in which 500-700 mu m tris-acryl gelatin microspheres (TAGM) were used for preoperative embolization. A 41-year-old man presented with severe proptosis, palpable mass, restrictive myopathy, exposure keratopathy, and compressive optic neuropathy in the right orbit. Magnetic resonance imaging showed a 65x35x35 mm, diffusely contrast-enhanced tumor in the superior orbit, extending to the apex, and multiple intratumoral vascular flow voids. A diagnosis of SFT was made by incisional biopsy. Endovascular tumor embolization was performed with 500-700 mu m TAGM. Two days later, the tumor was entirely removed with minimal bleeding. No embolization-or surgery-related complications and tumor recurrence or metastasis developed during the 42-month postoperative follow-up.
Description
Keywords
Head, Orbit, Solitary fibrous tumor, Surgical treatment, Tumor embolization, Tris-acryl gelatin microsphere, Science & technology, Life sciences & biomedicine, Ophthalmology