Wydanie 1/2017
str. 61 - 65

Ocena kliniczna a rozpoznanie histopatologiczne nowotworów aparatu ochronnego oka

Clinical Evaluation of a Histopathological Diagnosis of the Ocular Adnexae Tumors

Sebastian Sirek 1,2 , Nina Augustyn 3 , Mariola Gardocka 2 , Dorota Pojda-Wilczek 1,2

1 Klinika Okulistyki Katedry Okulistyki Wydziału Lekarskiego w Katowicach Śląskiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Ewa Mrukwa-Kominek
2 Oddział Okulistyki Dorosłych Uniwersyteckiego Centrum Klinicznego im. prof. K. Gibińskiego Śląskiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Ewa Mrukwa-Kominek
3 Oddział Okulistyczny Szpitala Miejskiego nr 4 w Gliwicach
Ordynator: lek. Czesław Augustyn


Summary: Aim of the study: Aim of the study was clinical and histopathological retrospective analysis of tumours of the ocular adnexae as well as the determination of the relationship between gender, age, location and histopathological types.
Material and Methods: A group of 251 tumours of the ocular adnexae was clinically, histopathologically and statistically analysed in patients (151 women and 100 men) surgically treated in the Department of Ophthalmology in Katowice SUM between 2009 and 2013.
Results: One hundred ninety-two lesions were benign, fifty-nine malignant.
In the group of women cysts (18.5%) as well as melanocytic naevi (17.2%) were the most frequently diagnosed, whereas in the group of men, basal cell carcinoma (26%), and verruca (12%), respectively. A melanocytic naevi (14.3%) were the most common benign lesions, while when it comes to malignant ones, it was basal cell carcinoma (18.3%). The subgroup of patients with malignant lesions was significantly older, however it is not relevantly distinct in the context of gender. Malignant lesions were most frequently located in the medial angle and the nasal area. Eighty-seven cases could not be unambiguously defined, based only on a clinical image. In eight cases, histopathological examination did not confirm clinically diagnosed malignant lesions.
Conclusions: The probability of malignant lesions occurrence increases with age, without any relation to gender. Mostly benign lesions localised on the eyelids, lacrimal caruncle and plica semilunaris. The most common malignant lesions localised in the medial corner and around the nose. Due to macroscopic similarity of tumors in the ocular adnexae, final diagnosis cannot be based only on clinical examination. Therefore the importance of histopathological examination in all cases of suspected tumors in the ocular adnexae must be emphasised.

Słowa kluczowe: nowotwór, aparat ochronny oka, histopatologia.

Keywords: tumor, ocular adnexae, histopathology.


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