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目的 分析睫状体部占位性病变的组织来源和类型、临床表现、鉴别诊断特点以及组织病理学特征 ,为临床提供诊断和治疗依据。方法 对存档的 5 2例睫状体组织标本 ,根据其解剖部位、组织来源进行系统的临床特征及组织病理学分析。结果 5 2例组织标本按解剖部位分类 :位于睫状体病变 38例 (73 1% ) ,原发于睫状体累及虹膜组织 14例 (2 6 9% ) ;按组织来源分类 :占第 1位者为睫状体神经上皮来源的肿瘤 2 0例 (38 5 % ) ,第 2位者为恶性黑色素瘤 14例 (2 6 9% ) ,第 3和第 4位者分别为黑色素细胞瘤 9例 (17 3% )和肉芽肿性炎性病变 5例 (9 6 % )。结论 对睫状体肿物临床特征和组织病理学特点的分析 ,有助于眼科临床医师作出正确的诊断和治疗
Objective To analyze the source, types, clinical manifestations, differential diagnosis features and histopathological features of space-occupying lesions in the ciliary body for diagnosis and treatment. Methods Fifty-two cases of ciliary body tissue samples were systematically analyzed for clinical features and histopathology according to their anatomic sites and tissue sources. Results 52 cases were classified according to their anatomical sites: 38 cases (73.1%) were in ciliary body lesions, 14 cases (26.9%) were primary ciliary body involved in iris, and were classified according to their origin Twenty-three (38.5%) were celiac neuroepithelial origin, the second was malignant melanoma (14.9%), the third and fourth were melanocytoma Cases (17.3%) and granulomatous inflammatory lesions in 5 cases (96%). Conclusions The analysis of the clinical features and histopathological features of ciliary body masses will help the ophthalmologist to make the correct diagnosis and treatment