摘要
目的总结睑板表皮样囊肿的临床表现,并与睑板腺囊肿进行鉴别。方法分析2017年7月—2022年5月就诊于复旦大学附属眼耳鼻喉科医院且经病理检查确诊为睑板表皮样囊肿的6例患者,总结其临床表现及治疗效果。结果6例患者被确诊为睑板表皮样囊肿,就诊时眼睑无红肿、睑缘无充血。肿物固定于睑板,与表面皮肤没有明显粘连。患者发病年龄为46~72岁,平均年龄(62.83±9.30)岁。所有患者经皮肤面切口完整摘除肿物,术后随访4个月~5年,肿物未见复发。其中3例患者曾被误诊为睑板腺囊肿,经睑板腺囊肿刮除术后复发。结论睑板表皮样囊肿与睑板腺囊肿临床表现极为相似,仔细的检查有助于术前判断肿物的性质。
Objective To summarize the clinical features of intratarsal keratinous cyst and to differentiate it from chalazion.Methods Six patients diagnosed pathologically with intratarsal keratinous cysts and treated in Eye and ENT Hospital of Fudan University from July 2017 to May 2022 were studied and their clinical manifestations and treatment effect were summarized.Results Six patients aged 46-72 years(average age of 62.83±9.30 years)were diagnosed with intratarsal keratinous cysts,and no eyelid redness or eyelid margin congestion was found at presentation.All lesions were fixed to the tarsus without obvious adhesion to the overlying skin.Complete cyst excision was achieved via trans-cutaneous incision and followed 4 months to 5 years with no evidence of recurrence.Three patients were misdiagnosed and surgically treated as a chalazion elsewhere prior to presentation to us with recurrence.Conclusions Intratarsal keratinous cyst is similar with chalazion and careful clinical assessment would help to differentiate them.
作者
任慧
甘路
毕颖文
蔡蓉蓉
钱江
REN Hui;GAN Lu;BI Yingwen;CAI Rongrong;QIAN Jiang(Department of Ophthalmology,Eye&ENT Hospital of Fudan University,Shanghai 200031,China;Department of Pathology,Eye&ENT Hospital of Fudan University,Shanghai 200031,China)
出处
《中国眼耳鼻喉科杂志》
2023年第4期316-317,319,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词
睑板
表皮样囊肿
睑板腺囊肿
鉴别
Tarsus
Keratinous cyst
Chalazion
Differentiation
