226例眼眶占位性病变的组织病理学分析

目的了解眼眶占位性病变的病理学分类及分布状态。方法对1994年1月至2010年1月226例眼眶肿瘤手术切除标本进行病理学检查。结果良性肿瘤186例（82.3%）,其中前6位依次为海绵状血管瘤42例（22.6%）,炎性假瘤28例（15.1%）,皮样囊肿26例（13.9%）,神经鞘瘤20例（10.8%）,泪腺混合瘤16例（8.6%）,神经纤维瘤12例（6.5%）。恶性肿瘤40例（17.7%）,其中泪腺上皮恶性肿瘤11例（27.5%）,横纹肌肉瘤8例（20.0%）,非霍杰金淋巴瘤5例（12.5%）,转移癌3例（7.5%）。结论眼眶病中最常见的疾病为脉管源肿瘤;眼眶原发恶性肿瘤主要为泪腺上皮恶性肿瘤。

Histopathologic analysis of 226 cases of orbital mass

Objective To study the pathology classification and distribution state of orbital mass.Methods 226 cases of orbital tumor resection pathologic specimens from January 1994 to January were reviewed.Results There were 186 cases of benign tumors(82.3%),in which the 6 most common ones are cavernous hemangioma in 42 cases(22.6%),28 cases of inflammatory pseudotumor(15.1%),26 cases of dermoid cyst(13.9%).neurilemmoma in 20 cases(10.8%),lacrimal gland mixed tumor in 16 cases(8.6%),12 cases of neurofibroma(6.5%),malignant tumor in 40 cases(17.7%),including the lacrimal gland epithelial malignant tumor in 11 cases(27.5%),8 cases rhabdomyosarcoma(20.0%),non Hodgkin’s lymphoma in 5 cases(12.5%),3 cases of metastatic carcinoma(7.5%).Conclusion vascular tumor is the most common orbital mass;lacrimal epithelial malignant tumor is the mainly primary orbital malignant tumor.