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目的分析原发性眼眶肿瘤的组织学来源和流行病学特征,为原发性眼眶肿瘤的诊断提供一定的指导。方法回顾性分析十年手术切除的原发性眼眶肿瘤病理标本。结果原发性眼眶肿瘤共701例,女性360例,男性341例;平均年龄(35.1±2.3)岁;左侧357例,右侧341例,双侧3例;良性498例(71.0%),恶性203例(29.0%)。血管源性326例(46.5%),泪腺源性146例(20.8%),神经源性101例(14.4%),淋巴源性92例(13.1%),其他36例(5.1%)。居前十位的依次为:海绵状血管瘤、淋巴瘤、泪腺多形性腺瘤、静脉性血管瘤、神经鞘瘤、淋巴管瘤、脑膜瘤、泪腺腺样囊性癌、泪腺多形性腺癌和横纹肌肉瘤。结论海绵状血管瘤和淋巴瘤仍然是最常见的良性和恶性原发性眼眶肿瘤。
Objective To analyze the histological origin and epidemiological characteristics of primary orbital tumors and provide some guidance for the diagnosis of primary orbital tumors. Methods A retrospective analysis of primary orbital tumor pathology specimens resected ten years. Results There were 701 cases of primary orbital tumors, including 360 females and 341 males. The average age was 35.1 ± 2.3 years. There were 357 cases on the left, 341 cases on the right, 3 cases in both sides, and 498 cases (71.0% Malignant 203 cases (29.0%). 326 cases (46.5%) of vascular origin, 146 cases (20.8%) of lacrimal gland origin, 101 cases (14.4%) of neurogenic origin, 92 cases (13.1%) of lymphoid origin and the other 36 cases (5.1%). The top ten were as follows: cavernous hemangioma, lymphoma, lacrimal gland pleomorphic adenoma, venous hemangioma, schwannoma, lymphangioma, meningioma, adenoid cystic carcinoma of lacrimal gland, pleomorphic adenocarcinoma of lacrimal gland And rhabdomyosarcoma. Conclusion Cavernous hemangiomas and lymphomas are still the most common benign and malignant orbital tumors.