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題 名 | Corneal Intraepithelial Neoplasia=角膜上皮贅瘤 |
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作 者 | 蘇良榮; 李瑞鋒; 游琇瑾; 方博炯; 張維基; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 38:3 1999.09[民88.09] |
頁 次 | 頁328-335 |
分類號 | 416.749 |
關鍵詞 | 角膜上皮贅瘤; Corneal intraepithelial neoplasia; Dysplasia; Corneal topographic change; Human papillomavirus; |
語 文 | 英文(English) |
中文摘要 | 目的:研究角膜上皮贅瘤在臨床及病理上的特徵。 方法:我們提出八位角膜上皮贅瘤病例。這些病例都做角膜地圖儀檢查、手術切除及病理檢 查。 結果:角膜地圖儀顯示出與混濁相關的散光。在病理上,它表現出上皮細胞過度增生、細胞 排列極性消失及形狀不規則的特色。其中五例表現陽性 human papillomavirus 反應,兩例 有細胞核皺縮及細胞內空泡現象,一例有細胞分裂變化。切除角膜混濁後,大部份病人有明 顯的視力改善,在追�j期間僅有一例有復發情形。 結論:我們認為角膜上皮贅瘤可能與 human papillomavirus 有密切關聯,且是個癌症前期 變化。它會造成角膜的散光。手術切除可消除病灶及迅速恢復視力,但需小心長期追�j。 |
英文摘要 | Purpose: To study the clinical and pathologic characteristics of corneal intraepithelial neoplasia. Methods: Eight corneal intraepithelial neoplasia cases were presented in this study. Keratometry, topography, surgical debridement, and pathologic examination were performed for these cases. Results: Topography revealed astigmatism associated with the epithelial opacity. Pathologically, corneal intraepithelial neoplasia was characterized by hyperplasia of the epithelial cellular layer, loss of cellular polarity, and irregular cellular shape. Five cases revealed positive reaction in human papillomavirus immunohistochemistry study, two cases showed koilocytosis, and one case showed mitotic change. After removal of the membranous corneal opacity, most cases had great visual improvement. One recurrence was noted during the follow-up period. Conclusions: We find that corneal intraepithelial neoplasia may be associated with human papillomavirus, and may present as a precancerous change. It results in flattened effect corneal astigmatism. Although surgical management can eliminate the lesion and improve the vision promptly, all corneal intraepithelial neoplasia patients need long-term careful follow-up. |
本系統中英文摘要資訊取自各篇刊載內容。