OBJECTIVE: To investigate the histopathologic classification and distribution of orbital diseases. METHODS: The authors analyzed 3 476 orbital diseases examined in 1976 - 2000 in the pathology laboratory. RESULTS: Benign orbital diseases were 81.90%. The 10 leading benign orbital diseases were cavernous hemangioma (515), vascular leiomyoma (364), inflammatory pseudotumor (347), dermoid (230), schwannoma (183), meningioma (150), benign mixed tumor of the lacrimal gland (147), mucocele (141), varix (132) and neurofibroma (76). Malignant orbital tumors were 18.10%. The numbers of malignant tnmors were malignant lacrimal gland epithelial tumors (129, 20.51%), rhabdomyosarcoma (75), non-Hodgkin's disease (65), secondary to nasosinus carcinoma (51), metastatic tumor (50), chloroma (32), extraocular extension of retinoblastoma (26) and extraocular extension of choroid malanoma (23). CONCLUSIONS: The vascular tumors and malformations are commonly seen in orbital diseases. The primary malignant tumor in the orbit is the malignant lacrimal gland epithelial tumors.
Histopathologic classification of 3 476 orbital diseases. Publishing Authors By Initials