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眼和眼睑良性肿瘤的评估和管理。

Evaluation and management of benign tumors of the eye and eyelid.

机构信息

Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA.

Department of Ophthalmology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

出版信息

Clin Dermatol. 2024 Jul-Aug;42(4):343-350. doi: 10.1016/j.clindermatol.2024.01.005. Epub 2024 Jan 26.

DOI:10.1016/j.clindermatol.2024.01.005
PMID:38281689
Abstract

Benign tumors of the eye and eyelid are common in children and adults, and they rarely undergo malignant transformation. Their workup and management have evolved over the years with increasing advancements in surgical and laser therapies. This contribution focuses on describing the following benign eye and eyelid tumors and their diagnostic and treatment approaches: congenital and acquired melanocytic nevi; nevus of Ota (Hori nevus); conjunctival papilloma; seborrheic keratosis; epidermoid cyst; dermoid cyst; milium; xanthelasma; hemangioma (cherry angioma and pyogenic granuloma); neurofibroma; neurilemmoma (schwannoma); and fibroepithelial polyp. Surgical removal is the primary treatment approach for many of these benign tumors. With advancements in laser technologies, there are now several laser types that can be used in the treatment of these benign eye and eyelid tumors. Other treatment modalities include cryosurgery, electrosurgery, and topical or intralesional medications. We hope this review will provide a reference to dermatologists and ophthalmologists in their approach to evaluation and management of benign eye and eyelid tumors.

摘要

眼部和眼睑的良性肿瘤在儿童和成人中很常见,且很少发生恶性转化。随着手术和激光治疗技术的不断进步,它们的检查和治疗方法也在不断发展。本专题着重介绍了以下眼部和眼睑良性肿瘤及其诊断和治疗方法:先天性和获得性黑素细胞痣;太田痣(Hori 痣);结膜乳头状瘤;脂溢性角化病;表皮样囊肿;皮样囊肿;粟丘疹;黄瘤;血管瘤(樱桃状血管瘤和化脓性肉芽肿);神经纤维瘤;神经鞘瘤(施万细胞瘤);纤维上皮息肉。对于许多这类良性肿瘤,手术切除是主要的治疗方法。随着激光技术的进步,现在有几种激光类型可用于治疗这些眼部和眼睑良性肿瘤。其他治疗方法包括冷冻疗法、电外科疗法和局部或病灶内药物治疗。我们希望本综述能为皮肤科医生和眼科医生在评估和治疗眼部和眼睑良性肿瘤方面提供参考。

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