Pediatric neoplastic extraocular soft-tissue lesions in the orbit are uncommon. Early multimodality imaging work-up and recognition of the key imaging features of these lesions allow narrowing of the differential diagnoses in order to direct timely management. In this paper, the authors present a multimodality approach to the imaging work-up of these lesions and highlight the use of ocular ultrasound as a first imaging modality where appropriate. We will discuss vascular neoplasms (congenital hemangioma, infantile hemangioma), optic nerve lesions (meningioma, optic nerve glioma), and other neoplastic lesions (plexiform neurofibroma, teratoma, chloroma, rhabdomyosarcoma, infantile fibrosarcoma, schwannoma).

Graphical Abstract

中文翻译：

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小儿眼眶病变：肿瘤性眼外软组织病变

小儿眼眶肿瘤性眼外软组织病变并不常见。早期多模态成像检查和识别这些病变的关键成像特征可以缩小鉴别诊断范围，以便指导及时治疗。在本文中，作者提出了一种多模态方法来对这些病变进行成像检查，并强调在适当的情况下使用眼部超声作为第一种成像方式。我们将讨论血管肿瘤（先天性血管瘤、婴儿血管瘤）、视神经病变（脑膜瘤、视神经胶质瘤）和其他肿瘤性病变（丛状神经纤维瘤、畸胎瘤、绿色瘤、横纹肌肉瘤、婴儿纤维肉瘤、神经鞘瘤）。

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