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在眼睛切除后不被怀疑的眼内恶性瘤的患病率
Meriam Islam1,2, Ingrid Bekono-Nessah3, Caroline Thaung4
1NIHR Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital and University College London Institute of Ophthalmology, London, United Kingdom. Meriam.islam@nhs.net.
Eye (London, England)
|January 22, 2026
概括
末期眼睛的组织病理学检查显示,没有怀疑的眼内恶性瘤的发病率很低 (0.75%). 这凸显了眼睛切除病例中组织学检查和术前评估的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 病理学 病理学 病理学
- 在瘤学瘤学.
背景情况:
- 眼球 (phthisis bulbi) 通常导致眼睛被切除,但偶发性眼内恶性瘤的风险还不清楚.
- 这项研究调查了由于phthisis bulbi而被切除的眼睛中发现的意外癌症的患病率.
研究的目的:
- 为了确定从眼睛切除手术中取出的样本中未被怀疑的眼内恶性瘤的发生率.
- 为了强调对末期眼睛的组织病理学检查的重要性.
主要方法:
- 对1897年的内脏切割和核化样本进行了回顾性分析.
- 数据是在2014年至2023年期间从英国眼病学部 (DEP) 收集的.
主要成果:
- 在664个符合条件的病例中,0.75% (5例) 患有未被怀疑的恶性瘤,包括黑色素瘤和状细胞癌.
- 在角膜按中发现了恶性瘤,并且在手术前的评估中错过了,例如B扫描超声波.
- 一个病例需要在内脏剥离期间内科怀疑恶性瘤.
结论:
- 末期眼睛的组织学检查对于检测隐藏的眼内恶性瘤至关重要.
- 虽然很少见,但这种风险需要考虑在手术前不能排除瘤时进行核化.
- 根据知情同意的讨论应该包括在眼睛切除的情况下恶性瘤的风险.
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