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干扰素α-2b治疗对切除、冷冻疗法和丝裂霉素C无反应的残余眼表鳞状上皮瘤。

Interferon alpha 2b treatment for residual ocular surface squamous neoplasia unresponsive to excision, cryotherapy and mitomycin-C.

作者信息

Nemet Arie Y, Sharma Vidushi, Benger Ross

出版信息

Clin Exp Ophthalmol. 2006 May-Jun;34(4):375-7. doi: 10.1111/j.1442-9071.2006.01226.x.

DOI:10.1111/j.1442-9071.2006.01226.x
PMID:16764660
Abstract

Three patients had residual or recurrent tumour following excision of large ocular surface squamous neoplasia (OSSN) lesions, which did not resolve despite the use of adjunctive cryotherapy and topical mitomycin-C therapy. The residual tumour was treated with topical or subconjunctival injectable interferon alpha 2b. All three eyes had complete resolution of the OSSN lesions after an average of 6 weeks (range 4-8 weeks) of treatment with interferon alpha 2b. No regrowth was seen during the follow-up period of 22.7 +/- 32.3 months (range 5-60 months). No adverse reactions or complaints were reported during and following interferon use, and previous symptoms from mitomycin-C treatment resolved completely. In these patients subconjunctival or topical interferon was an effective and safe treatment for residual OSSN. Longer follow up is required to confirm the long-term efficacy in prevention of recurrences.

摘要

三名患者在切除大面积眼表鳞状上皮肿瘤(OSSN)病变后出现残留或复发性肿瘤,尽管采用了辅助冷冻疗法和局部丝裂霉素-C治疗,但病变仍未消退。残留肿瘤采用局部或结膜下注射干扰素α-2b进行治疗。在用干扰素α-2b治疗平均6周(范围4-8周)后,所有三只眼睛的OSSN病变均完全消退。在22.7±32.3个月(范围5-60个月)的随访期内未见肿瘤复发。在使用干扰素期间及之后均未报告不良反应或不适主诉,丝裂霉素-C治疗引起的既往症状也完全消失。对于残留的OSSN,结膜下或局部使用干扰素是一种有效且安全的治疗方法。需要更长时间的随访来确认其预防复发的长期疗效。

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