Radiation therapy for recurrent orbital hemangioma

Background. Surgical resection and corticosteroid therapy have traditionally been the preferred methods of treatment for orbital hemangioma. Radiation therapy is not usually indicated because of the potential for ocular complications. With modern radiation techniques, however, patients may experienc...

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Bibliographic Details
Published in:Head & neck 2003-05, Vol.25 (5), p.412-415
Main Authors: Mierzwa, Michelle L., Barrett, William L., Gluckman, Jack L.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Diseases of the eye
Hemangioma - diagnostic imaging
Hemangioma - radiotherapy
Humans
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - diagnostic imaging
Neoplasm Recurrence, Local - radiotherapy
Ophthalmology
Orbit diseases
orbital
Orbital Neoplasms - diagnostic imaging
Orbital Neoplasms - radiotherapy
radiation therapy
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
recurrent hemangioma
Tomography, X-Ray Computed
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Summary:Background. Surgical resection and corticosteroid therapy have traditionally been the preferred methods of treatment for orbital hemangioma. Radiation therapy is not usually indicated because of the potential for ocular complications. With modern radiation techniques, however, patients may experience substantial clinical improvement without significant radiation‐induced morbidity. Methods. A case of unresectable, recurrent orbital hemangioma is described. The clinical presentation, management protocol using radiation therapy, and 5‐year follow‐up are reviewed. Results. The patient was initially seen with left orbital pain, diplopia, proptosis, and conjunctival edema caused by a recurrent left orbital hemangioma after failed previous surgery. CT scan and angiogram revealed a large, irregular, multilocular mass in the left orbit consistent with hemangioma. The patient was treated with a total of 2000 cGy in 10 treatments. Five‐year follow‐up revealed a stable, regressed hemangioma with no radiation complications. Conclusions. Radiation therapy may be used if appropriately indicated for function‐threatening orbital hemangioma. © 2003 Wiley Periodicals, Inc. Head Neck 25: 000–000, 2003
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.10200