结膜重度非典型增生局部癌变7例临床分析  

Clinical analysis of 7 cases of conjunctival severe atypical hyperplasia of local cancer

作　　者：黄胜 卿晨 杨秋林 杨敏 何伟 任永丰 Huang Sheng, Qing Chen, Yang qiuling, Yang Ming, Hewei, Ren Yongfeng.(Department of Ophthalmology, the first people＇s Hospital of Guizhou Province, Tongren City, 55430)

机构地区：[1]贵州省铜仁市第一人民医院眼科,贵州铜仁554300

出　　处：《中国实用眼科杂志》2017年第11期1099-1101,共3页Chinese Journal of Practical Ophthalmology

基　　金：四川省“视中”项目三期（SFCA-25-2013-01）

摘　　要：目的探讨眼结膜重度非典型增生局部癌变的临床特点及其治疗和预后。方法回顾性分析我院眼科术后经病理确诊为结膜重度非典型增生局部癌变7例患者，随诊1-15年，平均98个月。结果7例结膜重度非典型增生局部癌变，其中3例行局部病变切除手术，4例行眶内容物剜出术。术后复发2例，均为局部病变切除手术后局部复发，术后复发比例28．57％（2／7），死亡0例（0／7），未见其它部位转移。复发病例再行眶内容物剜出术。结论结膜重度非典型增生局部癌变的预后与解剖部位、累及范围、首次治疗方案等有关。早期诊断和选择最佳治疗方案是改善生存质量的重要手段，可致很好预后。Objective To investigate the clinical junctival severe dysplasia localized cancer. Methods characteristics, treatment and prognosis of con- 7 cases of conjunctival severe dysplasia in patients with localized cancer based on postoperative pathological diagnosis were analyzed, followed up for 1-15 years, art average of 98 months, retrospectively. Results In 7 cases, 3 of them under-went partial resection of lesions, 4 cases of orbital contents enucleation. Postoperative local recurrence occured in 2 local lesion excision cases, secondary surgerg was taken （orbital contents enucleation）, re-currence rate was 28.57% （2/7）, no death case（0/7）, no other part of the transfer. Condusion Prevention of conjunctival severe atypical hyperplasia partial canceration was affected by many aspects, in eluding anatomic site, involving scope of the lesion, the first treatment, etc. Early diagnosis and choosing a best treatment are important to improve the quality of life, with good prognosis.

关 键 词：眼结膜 重度非典型增生 癌变 

分 类 号：R737.9[医药卫生—肿瘤]