摘要
Purpose: Because of the rarity of peripunctal tumours and their clinical class ification as conjunctival or eyelid tu mours, they have gained little attention in the literature. We conducted a ret rospective study to illustrate the different clinical and histopathological spec trum of peripunctal tumours seen at two oculoplastics clinics. Methods: In a ret rospective interventional clinicopathologic case series study, all the charts of patients with peripunctal tumours presented at an ophthalmic oncology clinic in Jerusalem, Israel and an oculoplastics clinic in Boston, USA were reviewed. The tumours were classified as epithelial and non-epithelial tumours. The symptoms caused by these tumours, their pattern of growth and their management were eval uated. Results: Fourteen peripunctal tumours were identified. Eleven out of 175 (6.3%) peripunctal disorders and out of approximately 4, 000 (0.27%) surgical oculoplastics patients were seen at Massachusetts Eye &Ear Infirmary, Boston. T hree were seen at Hadassah University Hospital, Jerusalem. Seven histopathologic al types of peripunctal tumours of epithelial, subepithelial or melanocytic orig in causing punctal occlusion or displacement were identified. The tumours includ ed compound and junctional naevi, non-pigmented compound naevus, epithelial, su bepithelial inclusion cysts, verrucous and squamous papilloma, pyogenic granulom a and oncocytoma. All the tumours were benign. They involved the peripunctal or canalicular epithelium, the adjacent skin, the glandular epithelium or the subep ithelium. They presented as a peripunctal mass or were accidentally disclosed bu t none of them resulted in epiphora. Conclusions: Peripunctal tumours are rare. They exhibit different clinical types of growth and may be difficult to diagnose based on their clinical appearance alone. The location of peripunctal tumours p otentially allows their extension from the conjunctival sac into the canaliculus and vice versa. Therefore, it is best to ascertain free margins when the tumour is
Purpose: Because of the rarity of peripunctal tumours and their clinical class ification as conjunctival or eyelid tu mours, they have gained little attention in the literature. We conducted a ret rospective study to illustrate the different clinical and histopathological spec trum of peripunctal tumours seen at two oculoplastics clinics. Methods: In a ret rospective interventional clinicopathologic case series study, all the charts of patients with peripunctal tumours presented at an ophthalmic oncology clinic in Jerusalem, Israel and an oculoplastics clinic in Boston, USA were reviewed. The tumours were classified as epithelial and non-epithelial tumours. The symptoms caused by these tumours, their pattern of growth and their management were eval uated. Results: Fourteen peripunctal tumours were identified. Eleven out of 175 (6.3%) peripunctal disorders and out of approximately 4, 000 (0.27%) surgical oculoplastics patients were seen at Massachusetts Eye &Ear Infirmary, Boston. T hree were seen at Hadassah University Hospital, Jerusalem. Seven histopathologic al types of peripunctal tumours of epithelial, subepithelial or melanocytic orig in causing punctal occlusion or displacement were identified. The tumours includ ed compound and junctional naevi, non-pigmented compound naevus, epithelial, su bepithelial inclusion cysts, verrucous and squamous papilloma, pyogenic granulom a and oncocytoma. All the tumours were benign. They involved the peripunctal or canalicular epithelium, the adjacent skin, the glandular epithelium or the subep ithelium. They presented as a peripunctal mass or were accidentally disclosed bu t none of them resulted in epiphora. Conclusions: Peripunctal tumours are rare. They exhibit different clinical types of growth and may be difficult to diagnose based on their clinical appearance alone. The location of peripunctal tumours p otentially allows their extension from the conjunctival sac into the canaliculus and vice versa. Therefore, it is best to ascertain free margins when the tumour is
出处
《世界核心医学期刊文摘（眼科学分册）》
2005年第8期52-53,共2页
Digest of the World Core Medical Journals:Ophthalmology
