The Journal of the Arkansas Medical Society Issue 5 Volume 115 | Page 18

Table 6.1 Orbital Lesions Found in Ages 65 Years or Older (N=25) Table 6.2 Number Percentage of Lesions Gender Breakdown of Orbital Lesions Found in Ages 65 Years of Age or Older Number Percentage Squamous Cell Carcinoma 4 16.0% Females 16 64% Large B-Cell Lymphoma 2 8.0% Males 9 36% Florid Non-Nec Granulomatous Inflammation 2 8.0% Extranodal Marginal Zone Lymphoma (Malt Type) 2 8.0% Table 6.3 Benign Palisading Granuloma 1 4.0% Connective Tissue with Inflammation 1 4.0% Race Breakdown of Orbital Lesions Found in Ages 65 Years of Age or Older Number Percentage Diffuse Large B Cell Lymphoma 1 4.0% Caucasian 22 88% Fat And Lymphocticin Infiltrate 1 4.0% AA 2 8% Fibrous Tissue 1 4.0% Asian 1 4% Graves Ophthalmopathy 1 4.0% Follicular Lymphoma 1 4.0% Table 6.4 Marginal Zone Lymphoma 1 4.0% Number Percentage Metastaic Adenocarcinoma 1 4.0% Laterality Breakdown of Orbital Found in Ages 65 Years of Age or Older Papilloma 1 4.0% Right 13 52.0% Plasma Cell Myeloma 1 4.0% Left 9 36.0% Sebaceous Carcinoma 1 4.0% Bilateral 3 12% Steatoblepharn 1 4.0% Venous Malformation 1 4.0% Wegeners Granulomatosis 1 4.0% Number Percentage Temporal 5 20.0% Lacrimal Gland 5 20.0% Unknown 4 16.0% Superior 4 16.0% Medial 2 8.0% Superotemporal 1 4.0% Inferotemporal 1 4.0% Superomedial 1 4.0% Inferotemporal 1 4.0% Inferomedial 1 4.0% The incidence of different subtypes of orbital lesions seen in Arkansas may assist clinician in the region in formulating differential diagnosis in a pa- tient presenting with orbit-related signs and symptoms. References 1. Shields JA, Shields CL, Scartozzi R. Survey of 1264 patients with orbital tumors and simulating lesions: The 2002 Montgomery Lecture, part 1. Ophthalmology. May 2004; 111(5): 997-1008. 2. Bonavolonta G, Strianese D, Grassi P, et al. An analysis of 2,480 space- occupying lesions of the orbit from 1976 to 2011. Ophthalmic plastic and reconstructive surgery. Mar-Apr 2013; 29(2): 79-86. 3. Kennedy RE. An evaluation of 820 orbital cases. Trans Am Ophthalmol Soc 1984;82:134–57. 4. Rootman J. Diseases of the Orbit: A Multidisciplinary Approach. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2003: 53–69. 5. Johansen S, Heegard S, Bogeskov L, Prause JU. Orbital space occupying lesions in Denmark 1974-1997. Acta Opththalmol Scand. 2000;78:547–552 6. Demicri H, Shield CL, Shields JA, Honavar SG, Mercado GJ, To- villa JC. Orbital tumors in older adult population. Ophthalmolo- gy. 2002;109(2):243–248. 7. S.R Kodsi, D.J Shetlar, R.J Campbell, et al. A review of 340 orbital tu- 114 • THE JOURNAL OF THE ARKANSAS MEDICAL SOCIETY Table 6.5 Orbital Location of Orbital Lesions Found in Ages 65 Years of Age or Older mors in children during a 60-year period Am J Ophthalmol, 117 (1994), pp. 177–182 8. Henderson JW, Garrity JA, Cameron JD. Henderson’s Orbital Tumors. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2006:23–5. 9. Vatansever M, Vatansever E, Dinç E, Sarı A, Kara T. A Rare Cause of Proptosis in Childhood: Langerhans Cell Histiocytosis. Turkish Journal of Ophthalmology. 2016;46(4):194-196. 10. Pacheco LF, Fernandes BF, Miyamoto C, Maloney SC, Arthurs B, Burnier MN Jr. Rapid growth of an orbital hemangiopericytoma with atypical histopathological findings. Clin Ophthalmol 2014;8:31-33. VOLUME 115