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左侧外眼角先天性孤立性骨化性错构瘤:一例报告。

Congenital solitary osseous choristoma of the left lateral canthus: a case report.

机构信息

Oculoplastic Division, Department of Ophthalmology, Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia.

Oculoplastic Division, Department of Ophthalmology, King Fahad University Hospital, Khobar, Saudi Arabia.

出版信息

BMC Ophthalmol. 2024 Mar 28;24(1):140. doi: 10.1186/s12886-024-03403-y.

Abstract

BACKGROUND

An ocular osseous choristoma is a growth of mature, compact bone in the ocular or periocular soft tissue, and it is the rarest form of ocular choristoma, accounting for only 1.7% of all epibulbar choristomas.

CASE PRESENTATION

Herein we present the case of a 20-month-old girl who was referred to the oculoplasty clinic with a progressively growing mass in the left lateral canthus. It had been present since birth without ocular involvement. Upon examination the mass was firm with a smooth surface, measured 9 × 6 × 3 mm, and exhibited no episcleral attachment or ocular involvement. An excisional biopsy was performed, and the histopathological findings were consistent with osseous choristoma of the left lateral canthus.

CONCLUSIONS

This report highlights the importance of considering osseous choristoma in the differential diagnosis of eyelid lesions, particularly those that have been present since birth. It also emphasizes the need for further studies investigating associations between osseous choristomas and ocular canthi.

摘要

背景

眼部骨性迷芽瘤是成熟、致密骨在眼部或眼周软组织中的生长,是眼部迷芽瘤中最罕见的一种,仅占所有眶外膜迷芽瘤的 1.7%。

病例介绍

本文报告了一例 20 个月大的女孩病例,其左侧外眼角逐渐出现肿块,就诊于眼成形科。该肿块自出生时即存在,无眼部受累。检查发现肿块质地坚硬,表面光滑,大小为 9×6×3mm,无巩膜附着或眼部受累。行切除活检,组织病理学检查结果符合左侧外眼角骨性迷芽瘤。

结论

本报告强调了在鉴别诊断眼睑病变时,尤其是那些自出生即存在的病变时,考虑骨性迷芽瘤的重要性。还强调了需要进一步研究骨性迷芽瘤与眼外角之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810d/10976811/1fd526af4828/12886_2024_3403_Fig1_HTML.jpg

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