Surgical management of ocular surface squamous neoplasms: the experience from a cornea center.

作者: Sudha Sudesh , Christopher J. Rapuano , Elisabeth J. Cohen , Ralph C. Eagle , Peter R. Laibson

DOI: 10.1097/00003226-200005000-00004

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摘要: PURPOSE To report the surgical outcomes of treatment for ocular surface squamous neoplasms. METHODS Retrospective review neoplasms managed at a cornea center over 15-year period. Surgical was divided into two methods. The procedure identical within each group. One group patients treated with simple excision lesion. second followed by focal cryotherapy to involved limbus and/or conjunctival margin. Follow-up is reported. RESULTS A total 28 lesions were reviewed. Included 20 primary tumors and 8 recurrent referred following initial other centers. Histopathologic diagnoses included 1 actinic keratosis, 7 dysplasias, 18 carcinomas in situ, 2 invasive cell carcinomas. rate recurrence 28.5% 7.7% combined (p = 0.27). higher: 16.6% 50% (one two) 0.46). CONCLUSION Simple appears result higher when compared adjunctive cryotherapy. Judicious margins results rates comparable other, more extensive procedures. This technique has very few adverse effects on eye.

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