25G经结膜诊断性玻璃体切除术在疑似眼内淋巴瘤病例中的应用：病例系列及文献综述
25-gauge transconjunctival diagnostic vitrectomy in suspected cases of intraocular lymphoma: a case series and review of the literature.
作者信息
Kanavi Mozhgan Rezaei, Soheilian Masoud, Hosseini Sayed Bagher, Azari Amir A
机构信息
Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran 1666663111, Iran.
Central Eye Bank of Iran, Tehran 1968876711, Iran.
出版信息
Int J Ophthalmol. 2014 Jun 18;7(3):577-81. doi: 10.3980/j.issn.2222-3959.2014.03.33. eCollection 2014.
AIM
To report the cytology results of 25-gauge transconjunctival (25G-TSV) diagnostic vitrectomy in cases suspicious for intraocular lymphoma (IOL), and compare the results to those reported in the literature.
METHODS
Clinical and cytopathological records of 18 vitreous biopsy specimens obtained via 25G-TSV diagnostic vitrectomy in 12 patients suspicious for IOL were reviewed retrospectively. A review of the literature in regards to the diagnostic yields of vitreous specimens obtained via 25-gauge and 20-gauge diagnostic vitrectomy in suspected cases of IOL was performed.
RESULTS
Eighteen eyes from 12 patients with clinical suspicion of IOL underwent diagnostic 25G-TSV. The cytopathological investigations demonstrated IOL in 15 eyes (83.3%). Vitreous analysis was non-diagnostic in 3 eyes (16.7%).
CONCLUSION
Twenty-five-gauge diagnostic vitrectomy yields adequate sample for cytological evaluation of the vitreous in cases suspicious for IOL. The diagnostic results of the 25G-TSV in the current study are superior to those reported for 20-gauge vitrectomy but equivalent to those reported for 25G-TSV in the published literature.
目的
报告25G经结膜诊断性玻璃体切割术（25G - TSV）在疑似眼内淋巴瘤（IOL）病例中的细胞学结果，并将结果与文献报道进行比较。
方法
回顾性分析12例疑似IOL患者经25G - TSV诊断性玻璃体切割术获取的18份玻璃体活检标本的临床和细胞病理学记录。对疑似IOL病例中经25G和20G诊断性玻璃体切割术获取的玻璃体标本的诊断率相关文献进行综述。
结果
12例临床疑似IOL患者的18只眼接受了25G - TSV诊断性手术。细胞病理学检查显示15只眼（83.3%）为IOL。3只眼（16.7%）的玻璃体分析无诊断价值。
结论
25G诊断性玻璃体切割术可为疑似IOL病例的玻璃体细胞学评估提供足够样本。本研究中25G - TSV的诊断结果优于20G玻璃体切割术的报道结果，但与已发表文献中25G - TSV的报道结果相当。
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