CAJ | 학술논문

目的：了解老年人眼表肿瘤在眼睑、结膜的分布情况以及年龄分布特征，总结分析老年人眼表肿瘤的临床特征。方法选取上海交通大学医学院附属仁济医院眼科2013年12月～2014年9月就诊的眼表肿瘤老年患者46例，对他们的临床及病理资料作回顾性统计分析。结果46例老年人眼表肿瘤中，男性25例（54.35%），女性21例（45.65%），差异无统计学意义。恶性及有恶性倾向肿瘤9例（19.57%），良性肿瘤37例（80.43%）；眼睑肿瘤39例（84.78%），结膜肿瘤7例（15.22%）。在39例眼脸肿瘤患者中，眼睑恶性肿瘤7例（17.95%），眼睑良性肿瘤32例（82.05%）；在7例结膜肿瘤患者中，结膜恶性或有恶性倾向肿瘤2例（28.57%），结膜良性肿瘤5例（71.43%）。患者的年龄分布如下：55～64岁，26例（56.52%）；65～74岁，14例（30.43%）；75～84岁，5例（10.87%）；≥85岁，1例（2.17%）。结论老年人眼表肿瘤以眼睑肿瘤居多，恶性肿瘤约占眼表肿瘤20%，故应常规行病理切片。
목적：료해노년인안표종류재안검、결막적분포정황이급년령분포특정，총결분석노년인안표종류적림상특정。방법선취상해교통대학의학원부속인제의원안과2013년12월～2014년9월취진적안표종류노년환자46례，대타문적림상급병리자료작회고성통계분석。결과46례노년인안표종류중，남성25례（54.35%），녀성21례（45.65%），차이무통계학의의。악성급유악성경향종류9례（19.57%），량성종류37례（80.43%）；안검종류39례（84.78%），결막종류7례（15.22%）。재39례안검종류환자중，안검악성종류7례（17.95%），안검량성종류32례（82.05%）；재7례결막종류환자중，결막악성혹유악성경향종류2례（28.57%），결막량성종류5례（71.43%）。환자적년령분포여하：55～64세，26례（56.52%）；65～74세，14례（30.43%）；75～84세，5례（10.87%）；≥85세，1례（2.17%）。결론노년인안표종류이안검종류거다，악성종류약점안표종류20%，고응상규행병리절편。
Objective To investigate the distribution of the elderly ocular surface tumors in the eyelid and conjunctiva, determine the characteristics of age distribution, and summarize the clinical features of the elderly ocular surface tumors. Methods A retrospective analysis was carried out on 46 cases of the elderly ocular surface tumors hospitalized in our department from December 2013 to September 2014 based on the clinical and pathological data. Results In 46 cases of the elderly ocular surface tumors, there were 25 males (54.35%) and 21 females (45.65%), with a non-significant ratio of male to female. There were 9 cases (19.57%) with malignant tumors or tumors having malignant tendency, and 37 cases of benign tumors (80.43%). Among the 39 cases of eyelid tumors (84.78%), 7 cases were malignant (17.95%) and 32 cases benign (82.05%). Seven cases had conjunctival tumors (15.22%), including 2 cases with malignant tendency or malignant tumors (28.57%) and 5 cases with benign tumors (71.43%). For the distribution of age, there were 26 cases (56.52%) at an age of 55 to 64, 14 cases (30.43%) at 65 to 74, 5 cases (10.87%) at 75 to 84, and only 1 case (2.17%) older than 85 years old. Conclusion The elderly ocular surface tumors are more commonly located in the eyelid, with malignant rate accounting for about 20%. So routine pathological examination should be required.