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目的:原发性眼结膜肿瘤的组织病理学分析。方法:常规石蜡包埋切片及HE染色,少数作PAS、网状纤维及免疫组化检查。结果:777例原发性结膜肿瘤中良性肿瘤(669例(86.1％),恶性肿瘤108例(13.9％)。良性肿瘤中色素痣247例(36.9％),其他依次为囊肿、皮样瘤及纤维脂肪瘤等。恶性肿瘤中鳞状细胞癌58例(53.7％),恶性黑色素瘤占第二位。结论:结膜良、恶性肿瘤某些生物学特性的差别,可作为鉴别诊断的参考。结膜的鳞状细胞癌中还有梭形细胞癌和粘液表皮样癌的病理类型及恶性黑色素瘤术后复发有多种病理因素。眼科学报 1995;11:211—215。
Objective: Histopathological analysis of primary ocular conjunctival tumors. Methods: routine paraffin embedded sections and HE staining, a few for PAS, reticular fibers and immunohistochemistry. Results: Of the 777 primary conjunctival tumors, 669 (86.1%) had malignant tumors and 13 (9%) had malignant tumors, 247 (36.9%) had nevus in benign tumors, followed by cysts, dermoid tumors and Fibrosarcoma, etc. 58 cases (53.7%) of malignant squamous cell carcinoma and malignant melanoma accounted for the second place.Conclusion: The difference between some biological characteristics of conjunctival benign and malignant tumors can be used as a reference for differential diagnosis. Of squamous cell carcinoma and spindle cell carcinoma and mucoepidermoid carcinoma of the pathological type and recurrence of malignant melanoma after a variety of pathological factors. Journal of Ophthalmology 1995; 11: 211-215.