Ocular symptoms as the initial clinical manifestations in patients with extraocular tumors

摘要: Background Due to the variety of clinical presentation, some tumors may be concealed and easily misdiagnosed, leading delays in management. We report a series patients who initially presented an Ophthalmic Clinic with ocular symptoms were subsequently diagnosed extraocular tumors. Methods Patients ophthalmic outpatient clinic at Joint Shantou International Eye Center between April 2013 December 2019 intracranial or systemic reviewed retrospectively. Clinical data, including signs, imaging examinations, results tumor biopsies collected analyzed. Results Twenty-three included this study, which 16 female (69.6%) 7 male (30.4%). Chief complaints first visit visual loss (n=20), proptosis (n=2), diplopia (n=1). Ocular examination revealed disc pallor (n=8) swelling (n=3), choroidal mass without chorioretinal detachment (n=5), (n=2). Visual field (VF) was performed 11 hemianopia (n=4) non-specific (n=7) noted. Brain CT MRI, together histopathological findings from surgical confirmed diagnosis 18 cases, pituitary adenoma (n=7), meningioma oligodendroglioma (n=1), sellar suprachiasmatic arteriovenous aneurysm orbital glioma multiple sphenoid ossifying fibroma Nasopharyngeal carcinoma (NPC) (n=3) brain MRI nasal endoscopy. Five as metastasis secondary lung cancer hepatoma breast Conclusions present ophthalmologist symptoms. It is important identify appropriately manage these avoid unnecessary future treatment.