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局部应用干扰素 α-2b 治疗复发性眼鳞状表面肿瘤。

Relapsed ocular squamous surface neoplasia treated with topical interferon alfa-2b.

机构信息

Hospital Regional Universitario de Málaga, Servicio de Oftalmología, Spain.

Department of Doctoral Studies, Royal Liverpool University Hospital, UK; Riga Stradins University, Riga, Latvia.

出版信息

Rom J Ophthalmol. 2020 Jan-Mar;64(1):62-65.

PMID:32292860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7141926/
Abstract

A 54-year-old patient presented with a large, fleshy conjunctival lesion in the right eye that had been previously surgically removed in another centre. Diagnosis of Conjunctival intraepithelial neoplasia (CIN) was confirmed by conjunctival impression cytology. The tumor was treated with topical IFN-α-2β (1,000,000 IU/ (ml) adjuvant to surgery for chemoreduction purposes. One month after treatment, the lesion showed almost complete involution, therefore the treatment was continued up to 6 months, and the lesion showed full regression. The patient is currently under periodical follow-up by conjunctival impression cytology. We consider that topical IFN-α-2β can be used in CIN for chemoreduction and/ or curative purposes. We believe that conjunctival impression cytology is a useful and non-invasive method for diagnosis and follow-up in this condition.

摘要

一位 54 岁患者右眼出现一个大而肉质的结膜病变,该病变先前已在另一家中心通过手术切除。结膜印片细胞学检查证实为结膜上皮内瘤变(CIN)。肿瘤通过局部应用 IFN-α-2β(100 万 IU/(ml))进行治疗,辅助手术进行化疗减瘤。治疗 1 个月后,病变几乎完全消退,因此继续治疗 6 个月,病变完全消退。目前患者定期接受结膜印片细胞学检查随访。我们认为,局部应用 IFN-α-2β 可用于 CIN 的化疗减瘤和/或治疗目的。我们认为结膜印片细胞学检查是诊断和随访这种疾病的一种有用且非侵入性的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9390/7141926/05b7fcc801e6/RomJOphthalmol-64-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9390/7141926/5a9bde9a296e/RomJOphthalmol-64-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9390/7141926/2c8bf3d5c5a6/RomJOphthalmol-64-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9390/7141926/05b7fcc801e6/RomJOphthalmol-64-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9390/7141926/5a9bde9a296e/RomJOphthalmol-64-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9390/7141926/2c8bf3d5c5a6/RomJOphthalmol-64-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9390/7141926/05b7fcc801e6/RomJOphthalmol-64-62-g003.jpg

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本文引用的文献

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Expert Rev Ophthalmol. 2017;12(1):11-19. doi: 10.1080/17469899.2017.1263567. Epub 2016 Dec 5.
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Impression cytology in the evaluation of ocular surface tumors: review article.印片细胞学在眼表肿瘤评估中的应用:综述文章
Arq Bras Oftalmol. 2015 Mar-Apr;78(2):126-32. doi: 10.5935/0004-2749.20150033.
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Ultra high-resolution anterior segment optical coherence tomography in the diagnosis and management of ocular surface squamous neoplasia.
超高分辨率眼前节光学相干断层扫描在眼表鳞状上皮肿瘤的诊断和治疗中的应用。
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Treatment of conjunctival and corneal epithelial neoplasia with retinoic acid and topical interferon alfa-2b: long-term follow-up.用维甲酸和局部干扰素 alfa-2b 治疗结膜和角膜上皮肿瘤:长期随访。
Ophthalmology. 2012 Oct;119(10):1969-73. doi: 10.1016/j.ophtha.2012.03.045. Epub 2012 Jun 14.
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In vivo confocal microscopy of ocular surface squamous neoplasia.眼表面鳞状上皮肿瘤的活体共聚焦显微镜检查。
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Subconjunctival/perilesional recombinant interferon α2b for ocular surface squamous neoplasia: a 10-year review.结膜下/病变周围重组干扰素 α2b 治疗眼表面鳞状上皮肿瘤:10 年回顾。
Ophthalmology. 2010 Dec;117(12):2241-6. doi: 10.1016/j.ophtha.2010.03.052.
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Role of impression cytology in diagnosis of ocular surface neoplasia.印迹细胞学在眼表肿瘤诊断中的作用。
Cornea. 2008 Apr;27(3):269-74. doi: 10.1097/ICO.0b013e31815b9402.
8
Long-term follow-up of conjunctival and corneal intraepithelial neoplasia treated with topical interferon alfa-2b.局部应用干扰素α-2b治疗结膜和角膜上皮内瘤变的长期随访
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High-frequency ultrasonographic evaluation of conjunctival intraepithelial neoplasia and squamous cell carcinoma.结膜上皮内瘤变和鳞状细胞癌的高频超声评估
Arch Ophthalmol. 2003 Feb;121(2):168-72. doi: 10.1001/archopht.121.2.168.
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Impression cytology of conjunctival melanosis and melanoma.结膜黑色素沉着症和黑色素瘤的印片细胞学检查
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