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[结膜上皮性囊肿性痣(帕里诺皮样上皮瘤)]

[Epithelial-cystic nevus of the conjunctiva (Parinaud's dermo-epithelioma)].

作者信息

Cernea P, Simionescu C

机构信息

Clinica Oftalmologică Craiova.

出版信息

Oftalmologia. 1996 Jan-Mar;40(1):58-62.

PMID:8714115
Abstract

The epithelio-cystic nevus of the conjunctiva, initially improperly denominated by Parinaud dermo-epithelioma, is a dysplasia circumscribed at the level of bulbar conjunctiva, characterized by its forming of epithelial cysts which develop in a base layer made of nevoid cells. This affection evolves by forming epithelial cysts mostly muciparus ones, when the tumor is sited rather far from the limbus, where multiple chaliced cells are to be found in the epithelium, and as simple epithelial cysts, mostly in the epidermis, when it is sited near the limbus where chaliced cells are scarcer. In this condition the setting of the epithelial compound takes the form of full lobules. The nevoid compound represents the capital element which establishes the diagnosis. The epitheliocystic nevus of conjunctiva is a benign dysembryo with excessive development of epithelial cells in a basic layer of nevoid cells. This affection is benign, but its morphologic diversity and its many denominations give rise to periodical debates.

摘要

结膜上皮囊肿性痣,最初被帕里诺不恰当地命名为皮肤上皮瘤,是一种局限于球结膜水平的发育异常,其特征是形成上皮囊肿,这些囊肿在由痣样细胞构成的基底层中发展。当肿瘤位于离角膜缘较远的位置时,这种病变主要通过形成上皮囊肿(大多为黏液性囊肿)而发展,此时上皮中可发现多个杯状细胞;当肿瘤位于角膜缘附近(此处杯状细胞较少)时,则主要形成简单的上皮囊肿,大多位于表皮。在这种情况下,上皮复合体的形成呈完整小叶的形式。痣样复合体是确立诊断的关键要素。结膜上皮囊肿性痣是一种良性胚胎发育异常,在痣样细胞的基底层上皮细胞过度发育。这种病变是良性的,但其形态学多样性和众多命名引发了定期的争论。

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