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眼睑汗腺囊瘤的组织学研究：1例临床病例

Histological study of eyelid hidrocystoma: A clinical case.

作者信息

Karachrysafi Sofia, Fadel Georgios, Kapourani Viktoria, Akritidou Fani, Anastasiadou Pinelopi, Papamitsou Theodora, Sioga Antonia, Fadel Elie

机构信息

Department of Ophthalmology, General Hospital G. Papanikolaou, Thessaloniki, Greece.

Laboratory of Histology-Embryology, Department of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

SAGE Open Med Case Rep. 2022 May 11;10:2050313X221097770. doi: 10.1177/2050313X221097770. eCollection 2022.

DOI:10.1177/2050313X221097770
PMID:35573100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9102149/
Abstract

Hidrocystomas are benign lesions with frequent localization on the eyelids and common appearance as isolated translucent cystic lesions. The multiple and bilateral localization has been associated with systemic diseases or epidermodysplasia. The histological and ultrastructural study contributes to the distinction in eccrine or apocrine. In this clinical case, multiple bilateral skin lesions of the eyelids were removed surgically from a 55-year-old male patient with free medical history. The lesions were fully removed surgically without rupture of the cysts. The obtained tissues were fixed and prepared for an anatomical pathology study as well as observation under the electron microscope. The histological study revealed cystic lesions with low cuboid epithelium and presence of cells and collagen fibrils, while the ultrastructural study also revealed the presence of apoptotic and secretory cells as well as vacuolization of the cytoplasm. No relapse of the lesions was obtained. In conclusion, the histological and ultrastructural study of multiple hidrocystomas can highlight special features that help to better classify and diagnose eccrine or apocrine hidrocystomas, while surgical removal without rupture of the cyst can prevent reappearance.

摘要

汗管瘤是一种良性病变，常位于眼睑，通常表现为孤立的半透明囊性病变。多发性和双侧性病变与全身性疾病或表皮发育异常有关。组织学和超微结构研究有助于区分小汗腺或大汗腺来源。在本临床病例中，一名55岁无既往病史的男性患者双侧眼睑出现多发性皮肤病变，通过手术切除。病变被完整切除，囊肿未破裂。所获组织进行固定，准备用于解剖病理学研究及电子显微镜观察。组织学研究显示囊性病变内衬低立方上皮，有细胞和胶原纤维存在，而超微结构研究还显示存在凋亡细胞、分泌细胞以及细胞质空泡化。病变未复发。总之，多发性汗管瘤的组织学和超微结构研究可突出有助于更好地对小汗腺或大汗腺汗管瘤进行分类和诊断的特殊特征，而囊肿未破裂的手术切除可防止复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/aa64626cff40/10.1177_2050313X221097770-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/4bfc9f3ada1e/10.1177_2050313X221097770-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/e17202554073/10.1177_2050313X221097770-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f6e039dbec41/10.1177_2050313X221097770-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f94142a7d9da/10.1177_2050313X221097770-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f6e8a3b36c1e/10.1177_2050313X221097770-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f55da021a274/10.1177_2050313X221097770-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/e45e9852aaf6/10.1177_2050313X221097770-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/aa64626cff40/10.1177_2050313X221097770-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/4bfc9f3ada1e/10.1177_2050313X221097770-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/e17202554073/10.1177_2050313X221097770-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f6e039dbec41/10.1177_2050313X221097770-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f94142a7d9da/10.1177_2050313X221097770-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f6e8a3b36c1e/10.1177_2050313X221097770-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/f55da021a274/10.1177_2050313X221097770-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/e45e9852aaf6/10.1177_2050313X221097770-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4685/9102149/aa64626cff40/10.1177_2050313X221097770-fig8.jpg

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本文引用的文献

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Bi-institutional retrospective study on the demographics and basic clinical presentation of hidrocystomas.关于汗管囊瘤的人口统计学和基本临床表现的双机构回顾性研究。
Orbit. 2017 Dec;36(6):433-435. doi: 10.1080/01676830.2017.1337184. Epub 2017 Jul 19.
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Giant Hidrocystoma of the Orbit Presenting with Inversion and Ptosis of the Upper Eyelid.表现为上睑内翻和上睑下垂的眼眶巨大汗腺囊瘤
Turk J Ophthalmol. 2017 Apr;47(2):113-114. doi: 10.4274/tjo.76093. Epub 2017 Apr 1.
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