纤毛体上皮层的腺瘤:诊所,组织病理学和管理
Yue Zheng1,2, Xiang Gu1,2, Yiran Yao1,2
1Department of Ophthalmology, Shanghai Jiao Tong University School of Medicine Affiliated Ninth People's Hospital, Shanghai, China.
The British journal of ophthalmology
|July 11, 2023
概括
纤毛体上皮的腺瘤,包括有色素纤毛体上皮的腺瘤 (APCE) 和无色素纤毛体上皮的腺瘤 (ANPCE),具有相似的特征. 在APCE中虹膜入侵与视力不佳的结果有关,尽管整体预后良好.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 纤毛体上皮质的腺瘤是非常罕见的瘤.
- 现有的知识主要来自单独的病例报告.
- 区分有色素体表皮质腺瘤 (APCE) 和无色素体表皮质腺瘤 (ANPCE) 是至关重要的.
研究的目的:
- 为了全面了解纤毛体上皮质的腺瘤.
- 为了确定APCE和ANPCE之间的相似之处和差异.
- 分析临床和病理特征,治疗和预后.
主要方法:
- 追溯病例系列包括41名从文献中的患者和5名来自上海第九人民医院的患者.
- 在APCE和ANPCE之间的临床病理特征,治疗和预后的比较.
- 使用非参数等级总和测试,t测试和千平方测试进行统计分析.
主要成果:
- APCE和ANPCE表现出类似的临床和病原学特征和治疗方法.
- 整体视觉预后有利,63%的患者在治疗后保持或改善视力.
- 在APCE中更常见的虹膜入侵与视力下降有关 (p=0.003);化是视力丧失的主要原因.
结论:
- ANPCE和APCE的临床病理特征在很大程度上是相似的.
- 虹膜入侵是APCE的一个重要发现,与不良视觉结果相关.
- 没有观察到转移或复发的情况,这表明长期前景普遍有利.
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