D'Hermies F, Cotinat J, Elmaleh C, Renard G, Pouliquen Y
Service d'Ophtalmologie, Hôtel-Dieu, Paris.
J Fr Ophtalmol. 1992;15(1):65-7.
Keratinised tumors of the conjunctiva are not uncommon lesions. However, different pathological lesions may have a similar clinical. Actinic keratosis is one of these, it is an epithelial pre-cancerous lesion of the conjunctiva, which may become, if untreated, an invasive carcinoma. A case of bilateral lesions of this type is reported in a 61-year-old male patient who used to work outdoors, and the clinical diagnosis was followed by bilateral surgical removal of the two lesions. Histological examination study showed that the acquired modifications of the epithelium were typical of conjunctival actinic keratosis.
结膜角化性肿瘤并非罕见病变。然而,不同的病理病变可能有相似的临床表现。光化性角化病就是其中之一,它是结膜的一种上皮性癌前病变,如果不治疗,可能会发展为浸润性癌。本文报道了一名61岁长期从事户外工作男性患者的双侧此类病变病例,临床诊断后对双侧病变进行了手术切除。组织学检查显示,上皮的后天性改变是结膜光化性角化病的典型表现。