摘要
目的 探讨眼眶占位性病变组织病理学分类及分布情况。设计 回顾性病例系列研究。研究对象 997例眼眶 肿瘤手术患者。方法 记录患者的性别、年龄、眼别、病理结果。主要指标 肿瘤的病理组织学。结果 良性肿瘤800例,其中前 10位依次为海绵状血管瘤169例(21.13%),炎性假瘤98例(12.25%),静脉性血管瘤73例(9.13%),皮样囊肿(表皮样囊 肿)65例(8.13%),脑膜瘤63例(7.88%),泪腺多形性腺瘤55例(6.88%),神经鞘瘤46例(5.75%),脉管瘤34例(4.25%), 神经纤维瘤25例(3.13%),静脉曲张22例(2.75%)。恶性肿瘤197例,其中前5位依次为泪腺上皮性恶性肿瘤48例 (24.37%),非霍奇金淋巴瘤47例(23.86%),继发性肿瘤29例(14.72%),横纹肌肉瘤18例(9.14%),绿色瘤12例 (6.09%)。结论 眼眶占位病变种类繁多,良性肿瘤中以海绵状血管瘤最为多见,恶性肿瘤中以泪腺上皮性肿瘤多见。 “
Objective To investigate the histopathologic classification and distribution of orbital diseases. Design Retrospective case series. Participants 997 cases of orbital diseases. Methods All cases of sex, age, eye(right or left) and pathological results were recorded and analyzed. Main Outcome Measures Pathological results of all cases. Results There were 800 cases of benign orbital diseases. The top 10 benign orbital diseases were cavernous hemangioma(169 cases, 21.13%), inflammatory pseudotumor(98 cases, 12.25%), vascular leiomyoma(73 cases, 9.13%), dermoid (65 cases, 8.13% ), meningioma(63 cases, 7.88%), berign pleomorphic adenoma of lacrimal gland(55 cases, 6.88%), schwannoma(46 cases, 5.75%), lymphangioma(34 cases, 4.25%), neurofibroma(25 cases, 3.13%) and varix(22 cases, 2.75%). There were 197 cases of malignant orbital tumors. The 5 leading malignant orbital tumors were laerimal gland epithelial tumors(48 cases, 24.37%), non-Hodgkin's disease(47 cases, 23.86%), secondary tumors(29 cases, 14.72%), rbabdomyosarcoma(18 cases, 9.14%) and chloroma(12 cases, 6.09%). Conclusions The kinds of orbital occupication are enormous. Cavernous hemangioma is the most common disease in the benign orbital diseases and lacrimal gland epithelial tumors in malignant orbital tumors.
出处
《眼科》
CAS
2005年第6期369-372,共4页
Ophthalmology in China
关键词
眼眶肿瘤
病理学
orbital neoplasms
pathology