Weinreb R N
Am J Ophthalmol. 1984 May;97(5):573-6. doi: 10.1016/0002-9394(84)90374-x.
A transconjunctival approach produced adequate biopsy specimens of the lacrimal gland in 24 of 27 patients with possible sarcoidosis. In five of the 24 noncaseating granuloma confirmed the diagnosis of sarcoidosis. Three of the five patients with enlarged lacrimal glands and four of the seven patients with increased lacrimal gland uptake of gallium had sarcoidosis confirmed by the biopsy. In carefully selected cases transconjunctival biopsy of the lacrimal gland should be considered an important part of the diagnostic evaluation of possible sarcoidosis.
在27例疑似结节病患者中,经结膜入路在24例患者中获取了足够的泪腺活检标本。在这24例中,有5例通过非干酪样肉芽肿确诊为结节病。5例泪腺肿大患者中有3例,7例泪腺镓摄取增加的患者中有4例经活检确诊为结节病。在经过仔细挑选的病例中,经结膜泪腺活检应被视为疑似结节病诊断评估的重要组成部分。