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2006年至2012年在德黑兰法拉比眼科医院对274例结膜肿瘤性病变患者进行的调查。

Survey of 274 patients with conjunctival neoplastic lesions in Farabi Eye Hospital, Tehran 2006-2012.

作者信息

Asadi-Amoli Fahimeh, Ghanadan Alireza

机构信息

Department of Pathology, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Department of Pathology, Razi Skin Hospital, Tehran University of Medical Sciences, Tehran, Iran; Department of Pathology, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Curr Ophthalmol. 2015 Oct 31;27(1-2):37-40. doi: 10.1016/j.joco.2015.09.007. eCollection 2015 Mar-Jun.

DOI:10.1016/j.joco.2015.09.007
PMID:27239573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4877714/
Abstract

PURPOSE

To evaluate conjunctival epithelial neoplastic lesions in a 7-year period.

MATERIALS AND METHODS

The data of all primary cases of conjunctival neoplasia diagnosed in the Pathology Department of Farabi Eye Hospital were analyzed.

RESULTS

The patient group consisted of 179 (65.3%) males and 95 (34.6%) females, with an age range of 14-90 years and a mean age of 57.9 years. The most common primary conjunctival epithelial neoplastic lesion was invasive squamous cell carcinoma (SCC) (40.8%), followed by dysplasia (17%), papilloma (16.4%), In situ SCC (16%), actinic keratosis (7.3%), basal cell carcinoma (0.7%), xeroderma pigmentosum (0.7%), and mucoepidermoid carcinoma (0.3%). Of 274 lesions, 47 (17.1%) were benign, 159 (58%) were malignant, and 68 (24.8%) were precancerous. Compared to the results of a previous study of this center (1990-2004), the incidence of precancerous lesions has slightly increased whereas the incidence of SCC has decreased (22.1% vs. 24.8% and 59% vs. 40.8%, respectively).

CONCLUSION

SCC is the most common conjunctival epithelial neoplasm in this study, and its prevalence in males is nearly two times higher than in females. The high percentage of squamous cell carcinoma can likely be attributed to elevated sun exposure and ultraviolet light in Iran.

摘要

目的

评估7年间结膜上皮肿瘤性病变情况。

材料与方法

对法拉比眼科医院病理科诊断的所有结膜肿瘤原发性病例的数据进行分析。

结果

患者组包括179名男性(65.3%)和95名女性(34.6%),年龄范围为14至90岁,平均年龄为57.9岁。最常见的原发性结膜上皮肿瘤性病变是浸润性鳞状细胞癌(SCC)(40.8%),其次是发育异常(17%)、乳头状瘤(16.4%)、原位SCC(16%)、光化性角化病(7.3%)、基底细胞癌(0.7%)、着色性干皮病(0.7%)和黏液表皮样癌(0.3%)。在274个病变中,47个(17.1%)为良性,159个(58%)为恶性,68个(24.8%)为癌前病变。与该中心之前一项研究(1990 - 2004年)的结果相比,癌前病变的发生率略有上升,而SCC的发生率有所下降(分别为22.1%对24.8%和59%对40.8%)。

结论

在本研究中,SCC是最常见的结膜上皮肿瘤,其在男性中的患病率几乎是女性的两倍。鳞状细胞癌的高比例可能归因于伊朗阳光照射和紫外线水平的升高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/4877714/01ed874493e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/4877714/01ed874493e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/4877714/01ed874493e6/gr1.jpg

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