Download - Proptosis
![Page 2: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/2.jpg)
PLEOMORPHIC L G ADENOMAPRE.:- painless, firm, non-tender
CT scanTre.:- surgery
![Page 3: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/3.jpg)
![Page 4: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/4.jpg)
MALIGNANT LG TUMOURFast growing PainfulCT scan Tt.:- radiotherapy, surgery.
![Page 5: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/5.jpg)
RHABDOMYOSARCOMAMost common primary malignant
orbital tumour in children.The four main histological type :-
1. Embryonal 3. Botyroid 2. Alveolar 4. Pleomorphic
![Page 6: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/6.jpg)
CLINICAL FEATURESPresentation:- first decade of life with a
rapidly progressive proptosis. Examination:- diagnosis is conformed by
biopsy.Systemic investigations:-CT of the chest,
abdomen & pelvis, liver function test,bone marrow biopsy, and skeletal radiographs.
![Page 7: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/7.jpg)
RHABDOMYOSARCOMA
![Page 8: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/8.jpg)
TREATMENT Radiotherapy:-Chemotherapy:-Exenteration:-
![Page 9: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/9.jpg)
DERMOID CYSTA benign cystic teratoma :-The two main types:- 1. Superficial 2 . Deep
![Page 10: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/10.jpg)
SUPERFICIAL DER0MOID CYST
Located anterior to the orbital septum.Presentation:-infancy, firm, round,
attachment to suture.Treatment is based on cosmetic
indications.
![Page 11: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/11.jpg)
![Page 12: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/12.jpg)
DEEP DERMOID CYST Located posterior to the orbital septum.
Presentation:-adolescence, proptosis.
Treatment:-excision.
![Page 13: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/13.jpg)
BLOOD CYST Relatively rare:- May be associated with blunt trauma, lymphangioma, venous anomalies and blood dyscrasia.
Presentation:- progressive, non- tender proptosis.
![Page 14: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/14.jpg)
MUCOCELEFrontal EthmoidPresentation:- diplopia, proptopsis.
![Page 15: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/15.jpg)
MACOCELE OF LEFT FORNTAL SINUS
![Page 16: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/16.jpg)
OPTIC NERVE GLIOMAA slow-growing tumour.Affect in adults.Presentation:- visual loss first , proptosis.Examination:-disc oedema , atrophy.
CT scan, fusiform enlargement of ONTreatment:-
1. Observation. 3. Surgical 2. Radiotherapy
![Page 17: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/17.jpg)
MENINGIOMAOptic nerve sheathRare Middle aged womenPre.:- slowly progressive, U L ,visual loss.Examination:- ocular movement restriction
proptosis, disc oedema, atrophy. CT scan - tubular thickning of ON
![Page 18: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/18.jpg)
![Page 19: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/19.jpg)
TREATMENTOBSERVATION RADIOTHERAPY EXCISION
![Page 20: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/20.jpg)
METASTATICChildren Neuroblastoma Ewing sarcoma Acute myeloid leukaemia
![Page 21: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/21.jpg)
ACUTE MYELOID LEUKAEMIA
![Page 22: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/22.jpg)
METASTATICAdult Breast Bronchus Prostate GIT
![Page 23: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/23.jpg)
![Page 24: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/24.jpg)
TREATMENTRadiotherapy HormonalChemotherapySurgery
![Page 25: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/25.jpg)
ADJACENT STRUCTURESMaxillary ca.Ethmoidal ca.
![Page 26: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/26.jpg)
![Page 27: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/27.jpg)
![Page 28: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/28.jpg)
N P
![Page 29: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/29.jpg)
![Page 30: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/30.jpg)
PRESEPTAL CELLULITIS
![Page 31: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/31.jpg)
ORBITAL CELLULITIS
![Page 32: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/32.jpg)
CAPILLARY HAEMANGIOMA
![Page 33: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/33.jpg)
CAPILLARY HAEMANGIOMA
![Page 34: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/34.jpg)
![Page 35: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/35.jpg)
BILATERAL ORBITAL INVOLVEMENT BY LYMPHOMA
![Page 36: Proptosis](https://reader033.vdocuments.site/reader033/viewer/2022061209/548c7b3db479594e508b4635/html5/thumbnails/36.jpg)
Thank You