中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
6期
775-778
,共4页
高宇%高占国%刘立民%任明玉
高宇%高佔國%劉立民%任明玉
고우%고점국%류립민%임명옥
泪腺窝%上皮性肿瘤%非上皮性肿瘤%病理%临床特征
淚腺窩%上皮性腫瘤%非上皮性腫瘤%病理%臨床特徵
루선와%상피성종류%비상피성종류%병리%림상특정
Lacrimal fossa%Epithelial tumor%Non-epithelial tumor%Pathology%Clinical feature
目的 研究泪腺窝肿瘤及肿瘤样病变的病理类型和临床特征.方法 收集2001年1月至201 1年5月在邢台市眼科医院就诊的经病理证实的泪腺部占位病变339例患者的临床资料,对其组织来源、临床及影像特征等进行回顾性分析.结果 339例中,泪腺上皮性肿瘤135例(135/339,39.82％),泪腺非上皮性肿瘤204例(204/339,60.18％).在泪腺上皮性肿瘤中,良性上皮性肿瘤76例(76/135,56.30％),恶性上皮性肿瘤59例(59/135,43.70％).单侧眼眶275例(275/339,81.12％),双侧眼眶64例(64/339,18.88％).来源于表皮外胚层144例(144/339,42.48％),中胚层152例(152/339,44.84％),骨髓造血系统30例(30/339,8.85％),其它13例(13/339,3.83％).结论 泪腺窝占位病变种类繁多、组织来源多样,以泪腺上皮性肿瘤和泪腺炎性假瘤最多见,双侧发病者以泪腺非上皮性病变多见,不同病理类型的肿瘤和病变,其临床与影像特征有其共性和非共同性,据其不同的特点为鉴别诊断提供依据.
目的 研究淚腺窩腫瘤及腫瘤樣病變的病理類型和臨床特徵.方法 收集2001年1月至201 1年5月在邢檯市眼科醫院就診的經病理證實的淚腺部佔位病變339例患者的臨床資料,對其組織來源、臨床及影像特徵等進行迴顧性分析.結果 339例中,淚腺上皮性腫瘤135例(135/339,39.82％),淚腺非上皮性腫瘤204例(204/339,60.18％).在淚腺上皮性腫瘤中,良性上皮性腫瘤76例(76/135,56.30％),噁性上皮性腫瘤59例(59/135,43.70％).單側眼眶275例(275/339,81.12％),雙側眼眶64例(64/339,18.88％).來源于錶皮外胚層144例(144/339,42.48％),中胚層152例(152/339,44.84％),骨髓造血繫統30例(30/339,8.85％),其它13例(13/339,3.83％).結論 淚腺窩佔位病變種類繁多、組織來源多樣,以淚腺上皮性腫瘤和淚腺炎性假瘤最多見,雙側髮病者以淚腺非上皮性病變多見,不同病理類型的腫瘤和病變,其臨床與影像特徵有其共性和非共同性,據其不同的特點為鑒彆診斷提供依據.
목적 연구루선와종류급종류양병변적병리류형화림상특정.방법 수집2001년1월지201 1년5월재형태시안과의원취진적경병리증실적루선부점위병변339례환자적림상자료,대기조직래원、림상급영상특정등진행회고성분석.결과 339례중,루선상피성종류135례(135/339,39.82％),루선비상피성종류204례(204/339,60.18％).재루선상피성종류중,량성상피성종류76례(76/135,56.30％),악성상피성종류59례(59/135,43.70％).단측안광275례(275/339,81.12％),쌍측안광64례(64/339,18.88％).래원우표피외배층144례(144/339,42.48％),중배층152례(152/339,44.84％),골수조혈계통30례(30/339,8.85％),기타13례(13/339,3.83％).결론 루선와점위병변충류번다、조직래원다양,이루선상피성종류화루선염성가류최다견,쌍측발병자이루선비상피성병변다견,불동병리류형적종류화병변,기림상여영상특정유기공성화비공동성,거기불동적특점위감별진단제공의거.
Objective To explore the pathological classification and clinical features of tumors and tumor-like lesions in lacrimal fossa.Methods All 339 cases of lacrimal occupying lesions confirmed by pathology were collected in Xingtai Eye hospital from Jan 2001 to May 2011.The histological origin,clinical features and imaging manifestation of the lesions were retrospectively analyzed.Results In 339 cases of lacrimal lesions,there were 135 (135/339,39.82％) cases of lacrimal ephithlial tumorsand 204 (204/339,60.18％) cases of lacrimal non-epithelial lesions.There were 76 (76/135,56.30％) cases of benign tumors and 59 (59/135,43.70％) cases of malignant tumors in lacrimal ephithlial tumors.There were 275 (275/339,81.12％) cases of lesions located in unilateral lacrimal fossa and 64 (64/339,18.88％) cases in bilateral lacrimal fossa.There were 144 (144/339,42.48％) cases derived from epidermal ectoderm,152 (152/339,44.84％) cases from mesoderm,30 (30/339,8.85％) cases from marrow hematopoietic system and 13 (13/339,3.83％) cases were unidentified.Conclusions There are various kinds and histological origin of occupying lesions in lacrimal fossa,majority of them are lacrimal epithelial tumors and lacrimal pseudotumors,most portion of bilateral lesions are lacrimal non-epithelial tumors.Lacrimal tumors have the same or specific clinical and image feature varies with its pathological types which provide evidence for differential diagnosis.
