ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT U HẬU NHÃN CẦU TẠI BỆNH VIỆN K

Abstract

Objective: Evaluation of treatment of patients with orbital tumors in K national the combination of radiation therapy and/or post-operative chemicals. Methods: Cross-sectional, retrospective and prospective study, 30 patients with orbital tumor is diagnosed and operated at the Department of Neurosurgery - K national Hospital from 1/2017 to  6/2021. Results: The ratio male/female = 1,14/1. Mean age of the patient was 37.8 ± 22.6 years (age range 4 - 71 years). The most common presenting symptoms were proptosis in 27 patients (90%), eye pain 86,7%; vision loss 76,7%. There were 17(56,7%) patients with malignant tumors,  13(43,4%)  with benign tumors. The most common lesion types were meningioma (23.3%), embryonic rhabdomyosarcoma (13.3%), invasive nonkeratinizing carcinoma (10%). Total resection was achieved in 14 patiens (46,7%) while subtotal resection was 33,3%. No one died, intracranial hematoma  in this study. Current follow-up results: 8/30 (26.7%) patients died, average 9.0 ± 4.3 months, pathologic types (non-keratinizing carcinoma;  Skeletal muscle sarcoma, bone sarcoma, embryonic rhabdomyosarcoma, chondrosarcoma, scleroderma sarcoma, high-grade epidermal carcinoma.Tumor progression, recurrence: 6/30 (20%), average 9.0 ± 4.3 months, pathologic types (Hemangiopericytome malin grade III, Sarcoma (skeletal muscle, bone, embryonic rhabdomyosarcoma, scleroderma), non -keratinizing carcinoma). Residual tumors, benign tumors, no progression: 9/30 (30%), average 15.67 ± 12.7 months, pathologic types (meningioma, fibrous dysplasia, venous vascular tumor, pseudotumor - chronic inflammation). No tumor, benign tumor: 4/30 (13.3%), average 19.25 ± 8.9 months, pathological types (Swhannoma, meningioma). Conclusion: Surgery is an effective approach for the management of orbital tumors. Total resection was achieved in 14 patiens (46,7%) while subtotal resection was 33,3%. The rate of postoperative complications is low (There were 4 cases (13,33%) of infection at the eye socket. There was not intraorbital or intracranial hematoma, cerebrospinal fluid leak, pneumonia intracranial).