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A Survey of 645 Biopsies

Jerry A. Shields, MD; Brock Bakewell, MD; James J. Augsburger, MD; Joseph C. Flanagan, MD

Arch Ophthalmol. 1984;102(11):1606-1611.

Abstract
• Six hundred forty-five consecutive biopsies of orbital lesions performed at a major ophthalmic hospital during a 20-year period were used to develop a comprehensive classification of orbital tumors and pseudotumors, excluding thyroid orbitopathy. Although this series has certain bias, it probably closely parallels the incidence of orbital lesions that would prompt a biopsy in an ophthalmic practice. It is hoped that this review, combined with a familiarity of the signs and symptoms of various orbital lesions, will aid the clinician in the diagnostic evaluation of the patient with an orbital mass.

Author Affiliations
From the Oncology Service (Drs Shields and Augsburger) and Oculoplastic Service (Dr Flanagan), Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, and the Department of Ophthalmology, University of Virginia, Charlottesville (Dr Bakewell).

Footnotes
Accepted for publication June 7, 1984.

Reprint requests to Oncology Service, Wills Eye Hospital, Ninth and Walnut Streets, Philadelphia, PA 19107 (Dr Shields).

This study was supported in part by the Ocular Oncology Fund and the Oncology Research Fund, Wills Eye Hospital; the Pennsylvania Lions Sight Conservation and Eye Research Foundation, Inc; and the Black Patch Invitational Golf Tournament, Dowington, Pa.

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