目的 了解眼眶占位性病变的病理学分类及分布状态.方法 对1994年1月至2010年1月226例眼眶肿瘤手术切除标本进行病理学检查.结果 良性肿瘤186例(82.3%),其中前6位依次为海绵状血管瘤42例(22.6%),炎性假瘤28例(15.1%),皮样囊肿26例(13.9%),神经鞘瘤20例(10.8%),泪腺混合瘤16例(8.6%),神经纤维瘤12例(6.5%).恶性肿瘤40例(17.7%),其中泪腺上皮恶性肿瘤11例(27.5%),横纹肌肉瘤8例(20.0%),非霍杰金淋巴瘤5例(12.5%),转移癌3例(7.5%).结论 眼眶病中最常见的疾病为脉管源肿瘤;眼眶原发恶性肿瘤主要为泪腺上皮恶性肿瘤.%Objective To study the pathology classification and distribution state of orbital mass . Methods 226 cases of orbital tumor resection pathologic specimens from January 1994 to January were reviewed. Results There were 186 cases of benign tumors ( 82. 3% ) , in which the 6 most common ones are cavernous hemangioma in 42 cases ( 22. 6% ) , 28 cases of inflammatory pseudotumor ( 15.1% ) , 26 cases of dermoid cyst ( 13. 9% ). neurilemmoma in 20 cases ( 10. 8% ) , lacrimal gland mixed tumor in 16 cases ( 8.6% ) , 12 cases of neurofibroma ( 6. 5% ) , malignant tumor in 40 cases ( 17.7% ) , including the lacrimal gland epithelial malignant tumor in 11 cases ( 27. 5% ) , 8 cases rhab-domyosarcoma ( 20.0% ) , non Hodgkin' s lymphoma in 5 cases ( 12. 5% ) , 3 cases of metastatic carcinoma ( 7. 5% ). Conclusion vascular tumor is the most common orbital mass ; lacrimal epithelial malignant tumor is the mainly primary or -bital malignant tumor.
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