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題 名 | Large Dacryocystocele in an Adult--Case Report=成人巨大淚囊囊腫--病例報告 |
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作 者 | 簡毓嫺; 張淑雯; 蘇姵元; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 53:1 2014.04[民103.04] |
頁 次 | 頁73-78 |
分類號 | 416.753 |
關鍵詞 | 淚囊囊腫; 慢性淚囊炎; 淚囊腫瘤; Dacryocystocele; Chronic dacryocystitis; Lacrimal sac tumor; |
語 文 | 英文(English) |
中文摘要 | 描述成人淚囊囊腫臨床表現與治療。方法:病例報告。結果:87歲女性無鼻竇、眼皮手術或臉部外傷病史,三年來左內眥處腫脹有黏液性分泌物。檢查發現一個2.5×2.5×1.0公分,具有彈性、無痛、固定的囊狀性腫瘤,腫瘤遮蔽視線,並造成眼球向外側偏移;淚小孔外觀正常且擠壓腫瘤時無膿液逆流;電腦斷層顯示由左側淚囊延伸,具有完整囊袋且未顯影的囊性病灶,大小為2.4×2.2×2.1公分,周圍骨骼未遭到破壞。診斷為慢性淚囊炎併巨大淚囊囊腫。經囊腫抽吸與淚囊切除後發現內含清澈淡黃且無菌液體,病理顯示慢性發炎,無癌變組織。術後病人恢復正常眼皮外觀,無溢淚或腫瘤復發。結論:成人性較先天性淚囊囊腫少見,須仔細鑑別診斷,且以手術作為治療方式。 |
英文摘要 | To describe the clinical features, image findings and management of adult dacryocystocele. Methods: Case report. Results: A 87-year-old woman presented with a progressively swelling mass over the left medial canthal region, which had been associated with mucopurulent discharge for 3 years. She denied previous sinus or eyelid surgery, nor facial trauma history. The ophthalmic examination showed an elastic, non-tender, immobile, elevated cystic mass, measured 2.5 x 2.5 x 1.0 cm in size, near the left medial canthal region. The mass obscured the visual axis and caused lateral displacement of the globe .The puntum of the left eye was grossly normal without pus reflux by compression of mass lesion. Computed tomography revealed a well-capsulated, non-enhanced cystic lesion, measured 2.4 x 2.2 x 2.1 cm, arising from the left lacrimal sac without destruction of the surrounding bony structure. Chronic dacryocystitis with large dacryocystocele was diagnosed. Aspiration of the cyst followed by excision of the lacrimal sac was done. The fluid aspirated was relatively clear, light-yellow in color and no microorganism grew. The pathological examination of the excised lacrimal sac revealed flat to cuboidal epithelium containing prominent goblet cells and chronic lymphoplasmacytic inflammation without any neoplastic tissue. The post-operation course was smooth with successful restoration of eyelid figure, and no epiphora or tumor recurrence was noted during the three-month follow-up period. Conclusion: Owing to their rarity in comparison with congenital dacryocystoceles, adult dacryocystoceles must be differentiated from mimicking diseases. Moreover, surgical extirpation is required because of their permanent obstructive mechanisms. |
本系統中英文摘要資訊取自各篇刊載內容。