Spraul C W, Lang G K
Universitäts-Augenklinik Ulm.
Klin Monbl Augenheilkd. 1996 Aug-Sep;209(2-3):176-7. doi: 10.1055/s-2008-1035301.
A 72-year-old woman presented with a lesion in her right eye, which had developed over 2 years. The cherry red lesion was located in the bulbar conjunctiva in the area of the plica semilunaris. Ophthalmologic examination was otherwise normal. Differential diagnosis included a pyogenic granuloma and a hemangioma. Excision of the tumor was performed. Histological examination revealed solid nests and cords of polyhedral cells exhibiting abundant, finely granular acidophilic cytoplasm and round to oval paracentral nuclei usually containing a single prominent nucleolus. The diagnosis of oncocytoma was established. Ocular oncocytomas are rare neoplasms and are mostly found in the caruncle. A location in the bulbar conjunctiva is extremely rare and only two reports are found in the literature with both of these located in the plica semilunaris.
一名72岁女性因右眼出现一个已发展两年的病变前来就诊。樱桃红色病变位于半月皱襞区域的球结膜。眼科检查其他方面正常。鉴别诊断包括化脓性肉芽肿和血管瘤。对肿瘤进行了切除。组织学检查显示多面体细胞形成实性巢状和条索状,胞质丰富、细颗粒状嗜酸性,细胞核圆形至椭圆形,通常位于中央旁,含有单个明显核仁。诊断为嗜酸细胞瘤。眼嗜酸细胞瘤是罕见肿瘤,大多见于泪阜。位于球结膜的情况极为罕见,文献中仅发现两篇报道,且均位于半月皱襞。