泪腺区占位性病变38例临床病理分析  

Clinical and pathological analysis of 38 cases with space-occupying lesions of the lacrimal gland

作　　者：洪瑾 张志强 刘宇 花雷 李浩博 任德奎 余肖 Hong Jin;Zhang Zhiqiang;Liu Yu;Hua Lei;Li Haobo;Ren Dekui;Yu Xiao(Jinling Hospital, Nanjing 210002,China)

机构地区：[1]东部战区总医院(原八一医院)

出　　处：《临床眼科杂志》2019年第4期325-327,共3页Journal of Clinical Ophthalmology

摘　　要：目的研究泪腺区占位性病变的病理类型、临床特征和治疗方法。方法收集东部战区总医院(原八一医院)眼科2001年12月至2018年8月收治的38例泪腺区占位性病变患者的临床病理资料进行回顾性分析。结果38例(45只眼)泪腺区占位性病变中泪腺上皮性肿瘤19例,最多见的为泪腺多形性腺瘤14例(36.84%);泪腺非上皮性肿瘤19例,最多见的为泪腺淋巴组织增生7例(18.42%)。研究中所有患者均经手术治疗,经眉弓外侧切口手术33例,重睑切口手术2例,改良外侧开眶手术1例,经颅眶颅沟通肿瘤切除手术1例,眶内容物剜除手术1例。结论泪腺区占位性病变有不同的病理类型,对其进行病理分类和分型,有助于泪腺区占位性病变的诊断,为疾病诊治提供了参考依据。泪腺区占位性病变大多数手术切口选取经眉弓外侧切口。Objective To explore the pathological pattern, clinical features and therapeutic methods for space-occupying lesions of the lacrimal gland.Methods In this retrospective cases series, all 38 cases with lacrimal space-occupying lesions confirmed by pathology were collected from Dec 2001 to Aug 2018. The histological, clinical features and therapeutic methods were analyzed.Results Of all 38 cases, there were 19 cases with lacrimal epithelial tumors and 19 cases with lacrimal non-epithelial tumors. The most common lacrimal epithelial tumor was pleomorphic adenoma(36.84%) and the most common lacrimal non-epithelial tumor was lymphoid hyperplasia(18.42%). All patients underwent surgical treatment, with lateral brow incision in 33 cases, double eyelid incision in 2 cases, modified lateral orbital incision in 1 case, transcranial orbital communication tumor surgery in 1 case and orbital enucleation in 1 case. Conclusions The space-occupying lesions of the lacrimal gland have various pathological origins. Pathologic classification is helpful for the diagnosis and treatment of these diseases. The majority of surgical incision were made through the lateral brow incision.

关 键 词：泪腺 上皮性肿瘤 非上皮性肿瘤 临床特征 病理分析 

分 类 号：R739.7[医药卫生—肿瘤]