眼腺的初级基底细胞腺瘤:一个罕见的病例
Tokuhide Oyama1,2,3, Makoto Miyajima2,3, Ayako Tazawa2,3
1Department of Oculoplastic Surgery, Uonuma Eye Clinic, Uonuma, Japan.
Case reports in ophthalmology
|December 1, 2025
概括
这份报告详细介绍了第一个眼腺的基底细胞腺瘤 (BCA),这是一种罕见的良性瘤. 完全的手术切除是有效的,需要进行随访,以监测潜在的恶性转变.
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:
- 基底细胞腺瘤 (BCA) 是一种罕见的良性唾液腺瘤,占所有此类瘤的1-3%.
- 它是第三个最常见的良性唾液腺瘤,仅次于多形腺瘤和沃廷瘤.
- 眼腺的初级基底细胞腺瘤是非常罕见的.
研究的目的:
- 报告第一个记录的眼腺体初级基底细胞腺瘤病例.
- 描述临床表现,诊断成像和组织病理学发现.
- 讨论这种罕见疾病的管理和预后.
主要方法:
- 一个18岁男性的病例介绍,他有3年的轻度亡病史.
- 诊断成像包括轨道CT和MRI.
- 手术管理涉及前侧轨道切除,以进行完整的瘤切除.
- 组织病理学检查证实了诊断,并评估了侵入性特征.
主要成果:
- 眼腺瘤呈现为一个明确的,球状质量,尺寸为16 × 18 × 25毫米.
- 组织病理学揭示了一个双相模式,具有积极的β-catenin表达.
- 没有发现围神经,血管或周围组织侵入的证据.
结论:
- 眼腺的基底细胞腺瘤,虽然很少见,但可以通过彻底的手术切除来治疗.
- 术后监测非常重要,因为有可能发生恶性转变.
- 这一案例凸显了在轨道质量中考虑罕见诊断的重要性.
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