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局部应用干扰素α-2b治疗结膜乳头瘤。

Treatment of conjunctival papillomata with topical interferon Alfa-2b.

作者信息

Schechter Barry A, Rand William J, Velazquez Gabriel E, Williams William D, Starasoler Lewis

机构信息

Rand Eye Institute, Pompano Beach, Florida 33064, USA.

出版信息

Am J Ophthalmol. 2002 Aug;134(2):268-70. doi: 10.1016/s0002-9394(02)01514-3.

Abstract

PURPOSE

Two patients with biopsy-proven conjunctival papillomata exhibited complete resolution after treatment with topical Interferon Alfa-2b (IFNalpha2b).

DESIGN

Interventional case reports.

METHODS

Two patients with monocular biopsy-confirmed conjunctival papillomata were treated with IFNalpha2b, 1 million units/cc, one drop four times daily until clinical resolution was achieved.

RESULTS

(Patient 1) The lesion's size was significantly reduced at 1 month. Complete resolution was noted at the 3-month visit. No recurrences were seen 40 months post-treatment. (Patient 2) The lesion completely resolved after 6 weeks of treatment. No recurrence has occurred 18 months post-treatment. No systemic or local side effect of treatment was noted.

CONCLUSIONS

Two sizable conjunctival papillomata resolved using topical IFNalpha2b alone. Interferon is usually not considered effective for large solid tumors without surgical debulking. We realize that this is a limited case series, but these cases may serve as a basis for further investigation.

摘要

目的

两名经活检证实为结膜乳头状瘤的患者在局部使用干扰素α-2b(IFNα2b)治疗后完全消退。

设计

介入性病例报告。

方法

两名经单眼活检确诊为结膜乳头状瘤的患者接受IFNα2b治疗,浓度为100万单位/立方厘米,每日四次,每次一滴,直至临床消退。

结果

(患者1)病变大小在1个月时显著缩小。在3个月随访时观察到完全消退。治疗后40个月未见复发。(患者2)治疗6周后病变完全消退。治疗后18个月未复发。未观察到治疗的全身或局部副作用。

结论

仅使用局部IFNα2b就使两个较大的结膜乳头状瘤消退。干扰素通常被认为对未经手术减瘤的大型实体瘤无效。我们认识到这是一个有限的病例系列,但这些病例可为进一步研究提供基础。

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