睫状体占位病变23例临床病理分析  

Clinical and pathological analysis of 23 cases of ciliary body occupation

作　　者：齐冬梅[1] 何为民[1] 罗清礼[1] 

机构地区：[1]四川大学华西医院眼科,成都610041

出　　处：《中国实用眼科杂志》2009年第10期1166-1168,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨睫状体占位病变的临床特点和组织病理学特征,为临床提供诊断和治疗依据.方法 从1981～2007年问收治的23例睫状体占位病变患者的临床和病理资料进行回顾性分析.结果 23例睫状体占位病变均为肿瘤,位于睫状体的病变14例（60.87%）,位于睫状体和脉络膜的病变9例（39.13%）.按组织来源分类：色素细胞来源肿瘤18例（78.26%）,其中恶性黑色素瘤16例（69.56%）,黑色素细胞瘤2例（8.70%）;神经源性肿瘤2例（8.70%）,髓上皮瘤和神经鞘瘤各1例（4.35%）;睫状体神经上皮来源肿瘤1例（4.35%）,为无色素上皮腺瘤;平滑肌瘤1例（4.35%）;鳞状细胞癌1例（4.35%）.结论 睫状体占位病变以恶性黑色素瘤居首位,了解其临床特征,辅助检查和组织病理学特点,有助于作出准确的诊断和处理.Objective To analyze the clinical and histopathological features of ciliary body occupation.Methods The 23 cases of ciliary body occupation in the past 27 years from West China Hospital were ret- rospectively studied.Results The 23 patients were all suffered from tumors, in which 14 cases were located in the ciliary body （60.87%） and 9 lesions （39.13% ） located both in the ciliary body and choroid.According to the results of histopathological classification, there were 18 cases （78.26%） of tumor derived from pigment cell including 16 cases of melanoma （69.56%） and 2 cases of melanocytoma （8.70%）.There were 2 cases （8.70%） ofneurogenic tumors, including 1 case ofmedulloepithelioma （4.35%） and 1 case ofneurilemoma （4.35%）.There was one case （4.35%）of tumor derived from neural epithelium, which was the non-pigment epithelium adenoma.In addition, there was 1 case of leiomyoma （4.35%） and 1 case of squamous cell carcinoma （4.35%）.Conclusions Maliganant melanoma is the most common tumor of ciliary body.The clinical and histopathologiacal features and assisted examination could help ophthalmologist to diagnose and treat it correctly.

关 键 词：睫状体 临床 病理学 回顾性研究 

分 类 号：R739.41[医药卫生—肿瘤] R775.05[医药卫生—临床医学]