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尼泊尔三级医院病理实验室眼科活检中经组织病理学诊断的眼科肿瘤性病变的患病率

Prevalence of Histopathologically Diagnosed Ophthalmic Neoplastic Lesion Among Ophthalmic Biopsies in a Pathology Laboratory of Tertiary Hospital of Nepal.

作者信息

Kafle Santosh Upadhyaya, Singh Mrinalini, Kafle Prerna Arjyal, Kc BalKumar, Yadav Sanjeeb Kumar, Kc Anadi Khatri, Panthi Madhav

机构信息

Department of Pathology, Birat Medical College and Teaching Hospital, Morang, Nepal.

Biratnagar Eye Hospital, Morang, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2019 Sep-Oct;57(219):352-356. doi: 10.31729/jnma.4635.

Abstract

INTRODUCTION

Many vision threatening or life threatening neoplastic conditions often mimic less aggressive neoplastic or non-neoplastic inflammatory variants. This study aims to comprehensively analyze the histopathological spectrum of ophthalmic neoplastic lesions tumors in a pathology laboratory in a tertiary care hospital.

METHODS

A descriptive cross-sectional study was conducted in the Department of Pathology at Birat Medical College and Teaching Hospital, Morang, Nepal over a period from November 2016 to October 2018. Ethical clearance was taken from Institutional Review Committee of Birat Medical College. Sample size was calculated and convenience sampling was done. Data was collected in excel and analyzed in Statistical Package for Social Sciences version 16. Point estimate at 95% Confidence Interval was calculated and frequency and percentage was calculated for binary data. Subgroup analysis was done based on age, sex, nature of lesions and site of lesions.

RESULTS

Prevalence of ophthalmic neoplastic lesion was 139 (55.37%), of which 74 (53.24%) were benign and 65 (46.76%) were malignant. Benign was mostly seen in females and of second decade and malignant was common in males and seventh decade of life respectively. Nevus in 18 (24.3%) and squamous cell carcinoma in 30 (17.6%) was found to be the most common benign and malignant lesions among the specimens. Conjunctiva and cornea in 52 (37.41%) was the most common location for those neoplastic lesions.

CONCLUSIONS

The most common ophthalmic neoplastic lesion was benign. Nevus is common in females and second decade and squamous cell carcinoma is common in males and seventh decade of life.

摘要

引言

许多威胁视力或生命的肿瘤性疾病常常类似于侵袭性较低的肿瘤性或非肿瘤性炎症变体。本研究旨在全面分析一家三级医疗医院病理实验室中眼科肿瘤性病变的组织病理学谱。

方法

2016年11月至2018年10月期间,在尼泊尔莫朗比拉特医学院和教学医院病理科进行了一项描述性横断面研究。获得了比拉特医学院机构审查委员会的伦理批准。计算了样本量并进行了方便抽样。数据收集在Excel中,并在社会科学统计软件包第16版中进行分析。计算了95%置信区间的点估计值,并计算了二元数据的频率和百分比。根据年龄、性别、病变性质和病变部位进行了亚组分析。

结果

眼科肿瘤性病变的患病率为139例(55.37%),其中74例(53.24%)为良性,65例(46.76%)为恶性。良性病变多见于女性且在第二个十年,恶性病变分别多见于男性和第七个十年。在所检查的标本中,发现18例(24.3%)为痣,30例(17.6%)为鳞状细胞癌,分别是最常见的良性和恶性病变。52例(37.41%)肿瘤性病变最常见的部位是结膜和角膜。

结论

最常见的眼科肿瘤性病变是良性的。痣在女性和第二个十年常见,鳞状细胞癌在男性和第七个十年常见。

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