Zusammenfassung
Weil die Erstsymptomatik maligner Neoplasien der Orbita häufig das Auge betrifft
(Exophthalmus, Diplopie, Schmerzen), ist der Augenarzt häufig der erste mit der
Problematik des jeweiligen Krankheitsbildes konfrontierte Arzt, von dessen
Kenntnissen, richtiger Einordnung und richtigen weiteren Entscheidungen die
adäquate weitere Therapiesteuerung und die Prognose des Patienten entscheidend
abhängen.
Abstract
Malignant masses of the orbit include a large variety of neoplasms of epithelial
or mesenchymal origin. The treatment of orbital malignancies is an essential
interdisciplinary field of medicine that integrates ENT medicine, facial
surgery, plastic surgery, neurosurgery, oncology and radiology.
The main symptom of malignant orbital masses is the exophthalmos. A symptom that
can help to differentiate a benign from a malignant orbital mass can be the
pain. The main diagnostic tool is the MRI including new sequences like DWI and
DCE.
After presenting symptoms and diagnostic strategies of malignant orbital masses,
this article starts with the description of malignant epithelial neoplasms of
the lacrimal gland. Furthermore, it describes new insights in orbital lymphomas,
followed by the discussion of semimalignant orbital masses. Last but not least
the text deals with malignant neoplasms of the skin that can grow secondarily in
the orbit. Finally, the manuscript discusses orbital metastases.
