65岁及以上老年人眼部肿瘤784例病理学诊断构成分析  

Ocular tumors in patients 65 years-old or more:histopathological diagnosis spectrum in 784 cases

作　　者：赵云[1] 赵红[1] 惠靖雯 林锦镛[1] 于莎莎[1] 潘叶[1] 翟文娟[1] Zhao Yun;Zhao Hong;Hui Jingwen;Lin Jinyong;Yu Shasha;Pan Ye;Zhai Wenjuan(Tianjin Eye Hospital and Insititute,Clinical College of Ophthalmology of Tianjin Medical University,Tianjin Key Laboratory of Ophthalmology and Vision Science,Tianjin 300020,China)

机构地区：[1]天津市眼科医院天津市眼科学与视觉科学重点实验室天津市眼科研究所天津医科大学眼科临床学院,300020

出　　处：《眼科》2020年第1期43-48,共6页Ophthalmology in China

摘　　要：目的分析65岁及以上老年人眼部肿瘤的临床病理诊断构成情况。设计回顾性病例系列。研究对象2002年1月至2015年12月天津市眼科医院存档并经手术治疗后病理检查确诊的65岁及以上老年人眼部肿瘤患者784例(795眼)的临床资料。方法回顾分析肿瘤的发生部位、病理诊断及构成情况。主要指标病理诊断及构成比。结果784例眼部肿瘤中,男性375例(47.8%)381眼(47.9%)。眼睑肿瘤564例(71.9%),其中良性肿瘤407例(72.2%),恶性肿瘤152例(27.0%)。泪囊区肿瘤9例(1.2%)。眼表肿瘤117例(14.92%),其中良性肿瘤94例(80.3%),恶性肿瘤13例(11.1%)。泪腺肿瘤18例(2.3%)。眼眶肿瘤66例(8.4%),其中良性肿瘤34例(51.5%),恶性肿瘤30例(45.5%)。眼内肿瘤10例(1.3%)。结论2002-2015年天津市眼科医院65岁及以上老年人眼部肿瘤以眼睑和眼表肿瘤多见。眼部恶性肿瘤发生部位以眼睑和眼眶多见。恶性肿瘤病理类型主要为基底细胞癌、皮脂腺癌和淋巴瘤等。Objective To analyze the clinical features and pathological classification of ocular tumor patients who aged 65 years old or more.Design Retrospective case series.Participatients Seven hundred and eighty four cases(795 eyes)of ocular tumor with biopsy-proven in patients≥65 years old between January 2002 and December 2015 from Tianjin Eye Hospital.Methods The lesion location,clinical features and histopathologic classification of these lesions were performed to retrospectively investigated.Main Outcome Measures Pathological diagnosis and composition ratio.Results Of 784 cases there were 375 men(47.8%)(381 eyes,47.9%).Of 564 cases(71.9%)of eyelid tumor,there were 407 benign tumors(72.2%)and 152 malignant eyelid tumors(27.0%).There were 9 cases(1.2%)of lacrimal sac tumors.Of 117 cases(14.92%)of ocular surface tumor,there were 94 benign tumors(80.3%)and 13 malignant tumors(11.1%).There were 18 cases(2.3%)of lacrimal gland tumors.Of 66 cases(8.4%)of orbit tumor,there were 34 benign tumors(51.5%)and 30 malignant tumors(45.5%).There were 10 cases(1.3%)of intraocular tumors.Conclusion The most common ocular tumors of patients≥65 years old from 2002 to 2015 in Tianjin Eye Hospital were from eyelid tumors and ocular surface tumors.The malignant ocular tumors mostly located in eyelid and orbit.Basal cell carcinoma,sebaceous carcinoma and lymphoma were the most malignant ones.(Ophthalmol CHN,2020,29:43-48)

关 键 词：老年人 眼部肿瘤 病理学 

分 类 号：R739.7[医药卫生—肿瘤]