中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
5期
464-467
,共4页
杨于力%秦伟%刘勇%阴正勤
楊于力%秦偉%劉勇%陰正勤
양우력%진위%류용%음정근
结膜肿瘤%良性肿瘤%恶性肿瘤%结膜鳞状细胞性肿物%结膜黑色素瘤
結膜腫瘤%良性腫瘤%噁性腫瘤%結膜鱗狀細胞性腫物%結膜黑色素瘤
결막종류%량성종류%악성종류%결막린상세포성종물%결막흑색소류
Conjunctival neoplasms%Benign neoplasms%Malignant neoplasm%Conjunctival squamous cell neoplasms%Conjunctival melanoma
目的 了解眼部原发性结膜肿瘤的组织病理学特征及发病率.方法 收集第三军医大学附属西南眼科医院2003年1月至2009年12月期间门诊及住院治疗的728例原发性结膜肿瘤的临床病理资料进行回顾性分析.结果 良性结膜肿瘤570例(78.3%),其构成位于前10位的依次为:色素痣、结膜囊肿、乳头状瘤、血管瘤、迷芽瘤(皮样瘤、皮样脂肪瘤、畸胎样瘤)、脂肪瘤及纤维脂肪瘤、反应性淋巴增生、黑变病、非典型性增生、皮脂腺瘤.恶性结膜肿瘤158例(21.7%),其构成位于前5位的分别是:鳞状细胞癌(含黏液表皮样癌)、恶性淋巴瘤、恶性黑色素瘤、浆细胞瘤、原位癌.对结膜鳞状细胞性肿物及黑色素性病变的临床、病理特征及鉴别诊断进行了总结分析.结论 结膜肿瘤临床及病理分类繁多,对病变进行临床及病理分析有助于正确的诊断及治疗.
目的 瞭解眼部原髮性結膜腫瘤的組織病理學特徵及髮病率.方法 收集第三軍醫大學附屬西南眼科醫院2003年1月至2009年12月期間門診及住院治療的728例原髮性結膜腫瘤的臨床病理資料進行迴顧性分析.結果 良性結膜腫瘤570例(78.3%),其構成位于前10位的依次為:色素痣、結膜囊腫、乳頭狀瘤、血管瘤、迷芽瘤(皮樣瘤、皮樣脂肪瘤、畸胎樣瘤)、脂肪瘤及纖維脂肪瘤、反應性淋巴增生、黑變病、非典型性增生、皮脂腺瘤.噁性結膜腫瘤158例(21.7%),其構成位于前5位的分彆是:鱗狀細胞癌(含黏液錶皮樣癌)、噁性淋巴瘤、噁性黑色素瘤、漿細胞瘤、原位癌.對結膜鱗狀細胞性腫物及黑色素性病變的臨床、病理特徵及鑒彆診斷進行瞭總結分析.結論 結膜腫瘤臨床及病理分類繁多,對病變進行臨床及病理分析有助于正確的診斷及治療.
목적 료해안부원발성결막종류적조직병이학특정급발병솔.방법 수집제삼군의대학부속서남안과의원2003년1월지2009년12월기간문진급주원치료적728례원발성결막종류적림상병리자료진행회고성분석.결과 량성결막종류570례(78.3%),기구성위우전10위적의차위:색소지、결막낭종、유두상류、혈관류、미아류(피양류、피양지방류、기태양류)、지방류급섬유지방류、반응성림파증생、흑변병、비전형성증생、피지선류.악성결막종류158례(21.7%),기구성위우전5위적분별시:린상세포암(함점액표피양암)、악성림파류、악성흑색소류、장세포류、원위암.대결막린상세포성종물급흑색소성병변적림상、병리특정급감별진단진행료총결분석.결론 결막종류림상급병리분류번다,대병변진행림상급병리분석유조우정학적진단급치료.
Objective To investigate the histopathologic features and incidence of primary conjunctival neoplasms. Methods The histopathologic data of 728 primary conjunctival neoplasms in Southwest Eye Hospital from January of 2003 to December of 2009 were collected and analyzed retrospectively. Results Benign conjunctival neoplasms were 570(78.3%), the top ten in the ranking in turn were pigmented nevus, conjunctival cyst, papilloma, hemangioma, Choristoma, lipoma and lipofibroma, Reactive Lymphoid Hyperplasia,melanosis, atypical hyperplasia, sebaceous adenoma. Malignant conjunctival neoplasms were 158(21.7%), the top five in the ranking in turn were squamous cell carcinoma, malignant lymphoma, plasmocytoma, carcinoma in situ. The clinical, pathological and differential diagnosis of conjunctival squamous cell neoplasms and melanin lesions were summarized. Conclusions The classification of conjunctival neoplasms are various, the clinical and pathological analysis of primary conjunctival neoplasms is helpful to the diagnosis and therapy.
