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目的 观察睫状体肿物类型和病理学特征。 方法 回顾分析 11例原发性睫状体肿物的临床和病理学检查资料。 结果 经病理学检查证实的 11例原发性睫状体肿物中有恶性黑色素瘤 2例 ,良性黑色素细胞瘤 3例 ,平滑肌瘤 2例 ,血管平滑肌瘤、神经鞘瘤、非特异性肉芽肿和髓上皮瘤各 1例。睫状体良性肿瘤和恶性肿瘤临床上均显示有增大倾向。 11例患者中眼球摘除术或肿瘤局部切除术有 7例眼压增高、5例局部巩膜血管扩张、5例继发性渗出性视网膜脱离、4例病变初期伴有前部葡萄膜炎的体征。 结论 病理学检查证实睫状体肿物有多种类型 ,临床上均有逐渐长大表现 ,误诊率较高。
Objective To observe the type and pathological features of ciliary body. Methods Retrospective analysis of 11 cases of primary ciliary body mass clinical and pathological examination data. Results 11 cases of primary ciliary body tumor confirmed by pathological examination included 2 cases of malignant melanoma, 3 cases of benign melanocytoma, 2 cases of leiomyoma, 1 cases of angiomyolipoma, schwannoma, non-specific granulation Swollen and medulloblastoma in 1 case. Ciliary body benign tumors and malignancies are clinically showed a tendency to increase. Eleven patients underwent enucleation or partial tumor resection with elevated intraocular pressure (IOP) in 7 cases, partial scleral vasodilation in 5 cases, secondary exudative retinal detachment in 5 cases, signs of anterior uveitis in the early stage of 4 cases . Conclusions Pathological examination confirmed that there are many types of ciliary body mass, all of them showed gradual growth in clinical practice, with a higher misdiagnosis rate.