144例泪阜新生物临床病理分析

The clinicopathologie analysis of 144 cases with caruneular neoplasma

目的探讨泪阜新生物的类型，临床诊断和病理诊断之间的联系，提高临床诊断水平。方法回顾性分析1980年1月至2006年12月间在华西医院就诊并经病检证实的144例泪阜新生物的临床病理资料。结果在144例泪阜新生物中，131例为肿瘤，其中良性肿瘤7种，130例，包括：色素痣、乳头状瘤、皮脂腺囊肿、皮样囊肿、皮脂腺瘤、血管瘤、汗腺瘤；恶性肿瘤1例，为恶性黑色素瘤。另有13例临床疑诊为泪阜肿瘤，经病理检查证实为炎症肉芽肿、淀粉样变性、假上皮瘤样增生等。结论泪阜肿瘤发生率不高且种类繁多，原发于泪阜的新生物90％以上是良性的肿瘤，最多见的是色素痣。

Objective To determine the types of caruncular neoplasma and investigate the correlation between clinical and histologic diagnosis. Methods Retrospective analysis were performed on 144 cases suffering from cartmcular neoplasma diagnosed between January, 1980 to December, 2006 at West China hospital. Results A total of 144 cases of caruncular neoplasma were identified, in which 131 cases were tumors. 130 cases of benign tumors include 7 types： nevi, papilloma, sebaceous cysts, dermoid cyst, sebaceousma, hemangioma, spiroma; The only 1 case of malignant tumor was malignant melanoma. Other 13 cases were mistaken for caruncular tumors which identified for inflammation, amyloid degeneration, epitheliopseudotumor after histologic diagnosis.Conclusion The rarity and variety of caruncular neoplasma make clinical diagnosis difficult. More than 90 % caruncular lesions were benign tumor .The most common type was nevus.