泪腺腺样囊性癌临床治疗进展

泪腺腺样囊性癌(adenoid cystic carcinoma,ACC)是最常见的泪腺恶性上皮肿瘤,单纯手术切除疗效不满意,易复发,预后差。我们总结近年来国内外报道的相关泪腺ACC的临床综合治疗手段,包括改进手术入路、采取手术前后化学治疗、放射治疗等综合治疗方案,特别还报告了青年泪腺ACC患者的治疗策略,并分析了原发于泪腺以外ACC的诊断与治疗,为眼科临床医生提供更广阔的思路。

Clinical progress of treatment for adenoid cystic carcinoma of lacrimal gland

Adenoid cystic carcinoma(ACC)of lacrimal gland is the most common malignant epithelial lacrimal gland tumor. Excision alone shows unsatisfactory effect, which is easy to relapse and makes poor prognosis. This paper summarizes the clinical treatment for ACC of lacrimal gland, which covers the relevant domestic and international reports in recent years, including improved surgical approach, taking chemotherapy before and after surgery, radiotherapy.etc. Furthermore, treatment strategies for youth patients with ACC of lacrimal gland are reported and the diagnosis and treatment for ACC originated beyond lacrimal gland are analyzed. Above all, we may provide a broader way of thinking for ophthalmological clinicians.