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[马尔赫布钙化上皮瘤(毛母质瘤)——个人经验]

[Malherbe's calcifying epithelioma (pilomatrixoma)--own experience].

作者信息

Czerniawska Ewa, Pogrzebielski Arkadiusz, Romanowska-Dixon Bozena, Orłowska-Heitzman Jolanta

机构信息

Z Katedry i Kliniki Okulistyki i Onkologii Okulistycznej Uniwersytetu Jagiellońskiego Collegium Medicum w Krakowie.

出版信息

Klin Oczna. 2011;113(7-9):237-42.

Abstract

PURPOSE

Malherbe's calcifying epithelioma is a rare hair matrix tumor. The objective is to present clinical cases and to analyze the variability of its image.

MATERIAL AND METHODS

Among nearly 3500 patients with ocular tumors operated during the last 10 years in the Department of Ophthalmology and Ocular Oncology in Krakow we identified a group of 7 patients with histologically confirmed pilomatrixoma. A retrospective evaluation of their medical history was performed, paying particular attention to the co-existence of other diseases, form of growth and location of tumors, as well as treatment methods and their effectiveness. The results were compared with other clinical studies.

RESULTS

Malherbe's calcifying epithelioma is characterized by clinical polymorphism and similarity to other much more frequent eyelid tumors. It usually has the form of a single, small, movable, slowly growing nodule covered by intact skin. In addition to the classic form described there are pediculated tumors, huge, fast-growing, perforating, as well as tumors in unusual locations and multiple lesions.

CONCLUSIONS

The consequences of variation pilomatrixoma are clinical diagnostic errors. The one, sure and reliable criterion is a histopathology evaluation.

摘要

目的

马尔赫贝钙化上皮瘤是一种罕见的毛母质瘤。目的是展示临床病例并分析其影像学的变异性。

材料与方法

在过去10年中,在克拉科夫眼科与眼肿瘤学系接受手术的近3500例眼肿瘤患者中,我们确定了一组7例经组织学确诊为毛母质瘤的患者。对他们的病史进行了回顾性评估,特别关注其他疾病的共存情况、肿瘤的生长形式和位置,以及治疗方法及其有效性。将结果与其他临床研究进行了比较。

结果

马尔赫贝钙化上皮瘤具有临床多态性,且与其他更为常见的眼睑肿瘤相似。它通常表现为单个、小的、可移动的、生长缓慢的结节,表面皮肤完整。除了所述的经典形式外,还有带蒂肿瘤、巨大的、快速生长的、穿孔性的,以及位于不寻常位置和多发病变的肿瘤。

结论

毛母质瘤的变异性会导致临床诊断错误。唯一确定且可靠的标准是组织病理学评估。

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