眼部上皮性囊肿组织病理学分类和临床特点

发布时间：2018-12-27 09:33

【摘要】：目的探讨眼部上皮性囊肿患者的组织病理学分类和临床特点。方法对254例眼部上皮性囊肿患者进行回顾性分析,主要包括年龄、性别、发病部位、组织病理学性质。结果 254例眼部上皮性囊肿患者年龄为5个月～80岁,其中14岁及以下儿童患者52例(20.47%),14岁以上患者202例(79.53%);男115例,女139例;肿瘤部位:眼睑27例(10.63%),结膜35例(13.78%),角巩膜5例(1.97%),虹膜16例(6.30%),外眦部14例(5.51%),内眦部30例(11.81%),眼眶内127例(50.00%)。组织病理学性质:皮样或表皮样囊肿123例(48.43%),畸胎瘤1例(0.39%),单纯上皮性囊肿20例(7.87%),黏液囊肿91例(35.83%),泪腺囊肿1例(0.39%),植入性上皮性囊肿18例(7.09%)。结论眼部上皮性囊肿在不同年龄、不同发病部位的组织病理学性质有其独特特点。
[Abstract]:Objective to study the histopathological classification and clinical features of ocular epithelial cysts. Methods 254 cases of ocular epithelial cysts were analyzed retrospectively, including age, sex, location, histopathology. Results the age of 254 patients with ocular epithelial cysts ranged from 5 months to 80 years old, including 52 cases (20.47%) in children aged 14 and below, 202 cases (79.53%) in patients over 14 years of age, 115 cases in males and 139 cases in females. There were 27 cases (10.63%) of eyelid, 35 cases (13.78%) of conjunctiva, 5 cases (1.97%) of kerosclera, 16 cases (6.30%) of iris, 14 cases (5.51%) of lateral canthus, 30 cases (11.81%) of medial canthus. 127 cases (50.00%) in orbit. Histopathological features: dermoid or epidermoid cysts in 123 cases (48.43%), teratoma in 1 case (0.39%), simple epithelial cyst in 20 cases (7.87%), mucocele in 91 cases (35.83%). One case (0.39%) of lacrimal gland cyst and 18 cases (7.09%) of implanted epithelial cyst. Conclusion the histopathological characteristics of ocular epithelial cysts at different ages and different sites have their unique characteristics.
【作者单位】：邢台市眼科医院眼眶病科;
【分类号】：R739.7

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