结膜鳞状细胞癌33例临床分析

目的探讨结膜鳞状细胞癌的临床特征。方法回顾在赞比亚中央省KABWE总医院搜集的33例结膜鳞状细胞癌患者的临床资料，并对其中14例石蜡包埋结膜肿块标本行组织学检查和分极。结果平均发病年龄31．5岁。14例标本进行癌细胞分级分别为Ⅰ级4例，Ⅱ级5例，Ⅲ级2例，原位癌3例。结论非洲结膜鳞状细胞癌的发病年龄较轻，癌细胞分级以Ⅰ～Ⅱ级居多；早期手术切除是有效的治疗方法。

Clinical analysis of 33 patients with squamous cell carcinoma of conjunctiva

Obiective To discuss the clinical features and significances in patients with conjunctival squamous cell carcinoma. Methods The data of 33 cases with conjunctival squamous cell carcinoma cllected from Kabwe General Hospital of Zambia were reviewed. Forteen conjunctival specimens envelopped with paraffin were investigated again and classified. Results The average age of patients with conjunctival squamous cell carcinoma was 31.5 years old. The 14 specimens were classified into 4 grades, that were 4 cases in Grade I, 5 cases in grade II, 2 cases in grade III and 3 cases of in situ carcinoma. Conclusion The age of conjunctival squamous cell carcinoma patients in Africa is younger and most of the carcinoma patients belonged to grade I and grade II. Early surgical excision is aeffective treatment.