原发性睫状体肿物的临床病理学分析  

The clinicopathological analysis of the primary ciliary body tumors

作　　者：林锦镛[1] 李恩江[1] 

机构地区：[1]天津市眼科医院,300040

出　　处：《中华眼底病杂志》2002年第4期273-275,共3页Chinese Journal of Ocular Fundus Diseases

摘　　要：目的　观察睫状体肿物类型和病理学特征。　方法　回顾分析 11例原发性睫状体肿物的临床和病理学检查资料。　结果　经病理学检查证实的 11例原发性睫状体肿物中有恶性黑色素瘤 2例 ,良性黑色素细胞瘤 3例 ,平滑肌瘤 2例 ,血管平滑肌瘤、神经鞘瘤、非特异性肉芽肿和髓上皮瘤各 1例。睫状体良性肿瘤和恶性肿瘤临床上均显示有增大倾向。 11例患者中眼球摘除术或肿瘤局部切除术有 7例眼压增高、5例局部巩膜血管扩张、5例继发性渗出性视网膜脱离、4例病变初期伴有前部葡萄膜炎的体征。　结论　病理学检查证实睫状体肿物有多种类型 ,临床上均有逐渐长大表现 ,误诊率较高。Objective To observe the classification,clinical and pathological features of ciliary body tumors. Methods The clinical and pathological data of 11 cases of primary ciliary body tumors were analysed retrospectively. Results By pathological examination,the tumors of these cases were devided into malignant melanoma (2 cases), benign melanocytoma (3 cases),leiomyoma (2 cases), and angio- leiomyoma, neurilemoma, non-special granuloma and medulloepithelioma (1 case respectively). Both of the benign and malignant tumors of ciliary body tended to grow and enlarge progressively. The cardinal clinical manifestations of this series of 11 cases were as follows: elevation of intraocular pressure in 7, local scleral vascular dilatation in 5, secondary exudative retinal detachment in 5,and the signs of anterior uveitis in the early stage of tumor growth in 4. Conclusion The histopathological types of cilliary tumors are manifold,and the tumors are prone to enlarge progressively in developement either in benign or malignant ones, so that the rates of clinical misdiagnosis are relatively high.

关 键 词：病理学 眼肿瘤 病例分析 原发性睫状体肿物 

分 类 号：R739.7[医药卫生—肿瘤]