Korean J Otorhinolaryngol-Head Neck Surg.
2008 Jan;51(1):41-45.
Clinical Characteristics of Inflammtory Pseudotumor of the Orbit
- Affiliations
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- 1Department of Otorhinolaryngology, College of Medicine, The Catholic University of Korea, Seoul, Korea. entcho@catholic.ac.kr
Abstract
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BACKGROUND AND OBJECTIVES: Inflammatory pseudotumor is not malignant, but similar to malignancy lesions with respect to its clinical and radiological manifestations. It is well-known to opthalmologists and neurosurgeons, but unfamiliar to otolaryngologists. The objective of this study is to determine the diagnosis and treatment of inflammatory pseudotumor of the orbit.
SUBJECTS AND METHOD
We reviewed 17 patients who visited Kangnam St. Mary's hospital and were diagnosed with inflammatory pseudotumor with clinical manifestations and radiological studies between September, 1994 and December, 2006.
RESULTS
Seventeen patients were treated with high dose steroid, and of these, 12 showed clinical improvement, although 7 of these patients later showed recurrence. Of the five patients who initially showed no clinical improvement, one received radiation therapy but did not show improvement whereas two patients showed no improvement. One patient's symptoms improved after surgical decompression.
CONCLUSION
Our study suggests that the initial treatment of inflammatory pseudotumor should be high dose steroid treatment without improvement and the second treatment should be radiation therapy or surgical treatment.
