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From the Archives of the Archives
April 1999

A look at the past. . .

Arch Ophthalmol. 1999;117(4):554. doi:10.1001/archopht.117.4.554

AYRES reports a case of double exophthalmus in a boy of seven years, due to tumors in the orbits. These tumors were of rapid growth, only two months elapsing between the time of first appearance, and the death of the patient. There was marked leucocytosis, if not genuine leukemia. A post-mortem examination showed the orbits to be filled with a greenish soft mass, which also invaded the cancellated tissue of the sphenoid and petrous bones. The tissue was homogenous and without septa. The substance of the tumor consisted of small round cells, none or very few spindle cells, and scant intercellular substance. There had been what was supposed to be a parotitis just previous to the attack, and the lymphatic glands were involved extensively. Deafness was also a pronounced symptom. Death occurred as a result of hemorrhage from the conjunctiva of the right eye.

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