| 眼眶良性淋巴上皮病变的临床及病理 |
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| 引用本文： | 汪亮,杨华胜,张平,高际平. 眼眶良性淋巴上皮病变的临床及病理[J]. 安徽医学, 2009, 30(8): 855-858. DOI: 10.3969/j.issn.1000-0399.2009.08.005 |
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| 作者姓名： | 汪亮 杨华胜 张平 高际平 |
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| 作者单位： | 芜湖市第二人民医院眼科广州市中山眼科中心,241000;芜湖市第二人民医院眼科广州市中山眼科中心,241000;芜湖市第二人民医院眼科广州市中山眼科中心,241000;芜湖市第二人民医院眼科广州市中山眼科中心,241000 |
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| 摘 要： | 目的探讨眼眶良性淋巴上皮病变的临床诊治和病理特点。方法回顾性分析16例眼眶良性淋巴上皮病变临床和病理特点。结果16例患者临床均表现为双侧泪腺弥漫、均匀、持续肿大,同时合并有不同程度的大涎腺肿大,病变局限于腺体,无眼外肌肥大;16例病理标本检查均未发现上皮-肌上皮岛结构,16例均有典型的淋巴细胞呈多克隆性增生浸润,病理检查排除淋巴组织增生性疾病;16例眼眶良性淋巴上皮病变患者均对糖皮质激素治疗敏感,治疗后经过2个月到9年的观察及随访,除1例患者自行停用糖皮质激素而复发外,其余患者均未复发。结论眼眶良性淋巴上皮病变可能并不具有上皮-肌上皮岛结构。眼眶良性淋巴上皮病变的诊断主要基于以下几点：①临床表现为多发性腺体弥漫、均匀、持续肿大,即泪腺合并大的涎腺肿大;②无眼干及全身结缔组织疾病;③病理标本检查腺体均有典型的淋巴细胞多克隆性增生浸润,排除淋巴细胞增生性疾病及其他引起泪腺肿大的疾病;④对糖皮质激素治疗敏感。
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| 关 键 词： | 良性淋巴上皮病变 上皮-肌上皮岛 眼眶 |
Clinical analysis and pathology of benign lymphoepithelial lesion in the orbit |
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| Wang Liang,Yang Huasheng,Zhang Ping,et al.. Clinical analysis and pathology of benign lymphoepithelial lesion in the orbit[J]. Anhui Medical Journal, 2009, 30(8): 855-858. DOI: 10.3969/j.issn.1000-0399.2009.08.005 |
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| Authors: | Wang Liang Yang Huasheng Zhang Ping et al. |
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| Affiliation: | Wang Liang1,Yang Huasheng2,Zhang Ping2,et al 1.Department of Ophtalmology,the Sec, People's Hospital of Wuhu,Wuhu 241000 2.Zhongshan Ophthalmic Centre,Medical college of Zhongshang university,Guangzou 510060 |
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| Abstract: | Objective To assess the clinical diagnosis,therapy and pathology of benign lymphoepithelial lesion(BLEL) in the orbit.Methods A retrospective study was conducted to document 16 patients with bilateral lacrimal glands BLEL.Since 2004 year,Schirmer's tests were performed on all 10 patients prior to and after surgery,and the paired Student's t-test was used in this study.Results All 16 patients without extraocular muscle enlargement have symmetrical and persistent swelling in more than two lachrymal and major ... |
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| Keywords: | Benign lymphoepithelial lesion Lacrimal secretion Orbit |
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