眼睑及结膜的卡波西肉瘤

Kaposis sarcoma of eyelid and conjunctiva

目的探讨眼部卡波西肉瘤的临床及病理特点。方法对赞比亚恩多拉中心医院眼科１９９５年１月至１９９６年５月，经手术切除病理证实的１２例眼睑及结膜的卡波西肉瘤进行回顾性分析，同时对其中６例病理切片重新复习并分型。结果１２例均为非洲年轻男性黑人，４例行血清人类免疫缺陷病毒（ｈｕｍａｎｉｍｍｕｎｏｄｅｆｉｃｉｅｎｃｙｖｉｒｕｓ，ＨＩＶ）检测均呈阳性，多数患者有与获得性免疫缺陷综合症（ａｃｑｕｉｒｅｄｉｍｍｕｎｏｄｅｆｉｃｉｅｎｃｙｓｙｎｄｒｏｍｅ，ＡＩＤＳ）有关的全身症状。６例的病理切片分为３型，Ⅰ、Ⅱ、Ⅲ型各２例。结论眼部卡波西肉瘤为ＡＩＤＳ病较为常见的眼部表现，有些病例可能是最早期表现，临床病理均可分为３型，其改变为一连续过程。

bjective To investigate the clinical and histopathological features of ocular adnexal Kaposis sarcoma. Methods 12 consecutive cases of ocular adnexal Kaposis sarcoma confirmed histopathologically were retrospectively analyzed from Ndola Central Hospital of Zambia in January, 1995May, 1996. Hsitopathologic sections of 6 cases were reviewed. Results Among the 12 patients who were all young African males, the serum samples of 4 patients showed positive for human immunodeficiency virus (HIV) test. Most patients had acquired immunodeficiency virus syndrome (AIDS) related symptoms. Conclusions Ocular adnexal Kaposis sarcoma is a commom ocular manifestation in AIDS and may be the first sign. It is classified into three stages clinically and histopathologically, that is a continuous process.