Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India (A Unit of Medical Research Foundation, Chennai, India), India.
Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2022 Jun;70(6):1975-1981. doi: 10.4103/ijo.IJO_2724_21.
To provide a retrospective analysis of lesions of the caruncle which have been very rarely reported in the literature.
A retrospective review of all the caruncular lesions between January 2000 and January 2020 was done at a single tertiary eye care hospital. The lesions were classified as benign and malignant lesions. Clinicopathological correlation was done for the excised lesions.
A total of 87 caruncular lesions were included in the study. Males (59%) were affected more than females (41%). The mean age at presentation was 44 ± 20 years. The mean duration of complaint was 36 ± 62 months. A total of 36 patients underwent surgical excision whereas the rest opted for conservative management. Recurrence was noted in five patients. Fifteen different types of lesions were identified histopathologically. Benign lesions (78%) were far more common than malignant ones (22%). Epithelial inclusion cyst was the most common benign lesion and sebaceous gland carcinoma was the most common malignant lesion. Correct clinicopathological correlation was seen in 52.7% of the cases. Caruncular tuberculosis, oncocytoma, and basosquamous cell carcinoma were some of the rare lesions.
Caruncular lesions are uncommon and very diverse, which makes clinical diagnosis challenging. Epithelial inclusion cyst and sebaceous gland carcinoma were the most common benign and malignant lesions respectively. Correct clinicopathological correlation was seen in more than half of the cases.
对文献中鲜有报道的穹隆部病变进行回顾性分析。
在一家三级眼科医院对 2000 年 1 月至 2020 年 1 月期间所有的穹隆部病变进行回顾性分析。病变分为良性和恶性病变。对切除的病变进行临床病理相关性分析。
研究共纳入 87 例穹隆部病变，男性（59%）多于女性（41%）。就诊时的平均年龄为 44 ± 20 岁。平均发病时间为 36 ± 62 个月。共有 36 例患者接受了手术切除，其余患者则选择了保守治疗。5 例患者出现复发。组织病理学共发现 15 种不同类型的病变。良性病变（78%）远多于恶性病变（22%）。上皮包涵囊肿是最常见的良性病变，而皮脂腺癌是最常见的恶性病变。在 52.7%的病例中，观察到了正确的临床病理相关性。穹隆部结核、嗜酸细胞瘤和基底细胞鳞状细胞癌是一些罕见的病变。
穹隆部病变罕见且种类繁多，这使得临床诊断具有挑战性。上皮包涵囊肿和皮脂腺癌分别是最常见的良性和恶性病变。在超过一半的病例中观察到了正确的临床病理相关性。
