眼部角化棘皮瘤临床病理分析  

A Clinicopathological Analysis of Keratoacanthoma in Eye

作　　者：康瑛[1] 张洁[1] 吴中耀[1] 

机构地区：[1]中山医科大学中山眼科中心,广州510060

出　　处：《眼科学报》1997年第4期217-218,共2页Eye Science

摘　　要：目的:讨论角化棘皮瘤的临床病理表现以及诊断和鉴别诊断。方法:分析角化棘皮瘤的临床及病理表现。结果:分析我中心1973～1995年病理确诊的角化棘皮瘤的临床病理表现。临床上:短期迅速增大,呈脐样外观,中央结痂。组织病理:中央充满角化过度或不全的物质,似火山口样,基底完整,病变可扩张至实质层。结论:角化棘皮瘤是表皮样增生性疾病,是假性癌样增生的特殊类型,它与其它肿瘤有着不同的临床与组织病理特点,并与眼部其他肿物相鉴别。眼科学报1997;13;217—218。Purpose :To discuss clinic and hisopatholcgic features of keratoacanthoma. The diagnosis and differential diagnosis were discussed. Methods :The anthors analyse clinical characteristics of keratoacanthoma which is testified by hisopathology. Clinically, the tumors developed rapidly. They appeared as a dome or nodule with a central keratin filled crater and elevated rolled margins. Results:Histologically, they had a cup - differontiated squamous opithalium surrounding a central mass of keratin. The base was rather unifurm. The lesions may extend into underlying stroma even orbicularis muscle. Conclusion : Keratoacanthoma is a speciallized variant of pseudccarcinomatous hyperplasia. It has clinic and hisopatholcgic characteristics and differs from other tumors. Eye Science 1997; 13:217-218.

关 键 词：角化棘皮瘤 病理学 眼肿瘤 

分 类 号：R739.702[医药卫生—肿瘤]