双眼眼眶复发性黄色肉芽肿1例  

One case of recrudescent biorbital xanthogranuloma

作　　者：孙黎 刘宁[1] 刘夫玲[1] Sun Li;Liu Ning;Liu Fuling(Department of Ophtalmology,Qingdao Hospital,University of Health and Rehabilitation Sciences(Qingdao Municipal Hospital),Qingdao 266000,China)

机构地区：[1]康复大学青岛医院(青岛市市立医院)眼科,青岛266000

出　　处：《中华整形外科杂志》2024年第6期674-677,共4页Chinese Journal of Plastic Surgery

摘　　要：患者女,66岁,因"双眼肿胀不适10余年,手术切除双眼眶黄色肉芽肿后复发3年"于2022年10月9日就诊于康复大学青岛医院。10余年前患者无明显诱因出现双眼肿胀,逐渐加重,至外院行手术切除治疗,病理诊断"眼眶黄色肉芽肿",3年前复发。患者此次入院给予全身糖皮质激素治疗后,行左眼眶肿物切除术+泪腺肿物切除,病理诊断"眼眶黄色肉芽肿",结合患者临床表现及既往史,可确诊为成人起病的黄色肉芽肿。治疗后1年随访,患者双眼上睑及眶周肿胀较前减轻,双眼外观基本恢复对称。该例患者通过临床表现、既往史、影像学检查及病理学检查得到确诊,治疗效果及预后良好,可为研究此类疾病提供参考。On October 9,2022,a 66-year-old female patient was admitted to Qingdao Hospital,University of Health and Rehabilitation Sciences,because of swollen eyes for more than 10 years,and the relapse after resection of biorbital xanthogranuloma 3 years ago.The patient developed swelling in both eyes with no obvious predisposing causes more than 10 years ago,which worsened gradually,and underwent surgical resection in another hospital,with the pathological finding showing orbital xanthogranuloma,but relapsed 3 years ago.In this admission,the patient underwent the resection of left orbital mass and lacrimal gland mass after systemic hormone therapy.The results of biopsy suggested orbital xanthogranuloma.Combining with clinical manifestations and past-history,the illness was diagnosed as adult-onset xanthogranuloma.On the first year after treatment,the swelling of double upper eyelids and orbits has reduced compared to before,and ocular appearance have regained symmetry substantially.This case was diagnosed by clinical manifestations,past-history,imageological examination and pathological examination,and has a favorable therapeutic effect and the prognosis,providing a reference for the study of this diseases.

关 键 词：肉芽肿 黄色肉芽肿 眼眶 

分 类 号：R77[医药卫生—眼科]