眼科学报2025，Vol.40Issue(1)：74-84,11.DOI:10.12419/24092906
经皮肤切口联合鼻内镜入路行泪道肿瘤切除2例报告并文献复习
Two cases of lacrimal duct tumor resection through cutaneous incision combined with nasal endoscopic approach and literature review
王成美 1赵一凡 1王红琳 1姬大卫 1曹颖 1逄作祥1
作者信息
摘要
Abstract
Lacrimal tumors are a relatively rare disease of the lacrimal system.According to the literature,more than 55%of lacrimal tumors are malignant tumors.If the tumor cannot be completely removed or has already metastasized,it may increase the recurrence rate and mortality rate.Therefore,in clinical practice,if a case of a mass in the lacrimal sac is encountered,a thorough examination should be performed,such as orbital ultrasound scan,CT and MRI with or without contrast enhancement,and endoscopic examination of the lacrimal duct,if possible.The condition should be fully assessed to design a reasonable surgical approach and the extent of surgical resection.If the lesion is large or the condition is complex,a single incision through the skin or endoscopic approach may not be able to completely remove it,and an combined approach can be used to obtain a good view and fully dissect and separate the lesion for appropriate resection.This article reports two cases of lacrimal tumor resection performed through a skin incision combined with an endoscopic approach,one of which had a postoperative pathological diagnosis of benign papilloma and no recurrence was observed 5 months after surgery and Long-term follow-up is planned.The other case was NUT carcinoma.The patient had received chemotherapy in the oncology department of the general Hospital after diagnosis.It is suggested that the imaging examination of the orbit should be improved in the case of lacrimal tumor before operation,and the examination of the main organs of the body should be perfected when malignant tumor is suspected,so as to fully evaluate the condition.For the case with surgical indications,the appropriate surgical plan should be selected and the complete resection should be carried out as much as possible.Long-term follow-up should be carried out after surgery,so that recurrence and metastasis can be detected early,and timely treatment can be carried out.关键词
泪道肿瘤/鼻内镜/皮肤切口/乳头状瘤/NUT癌Key words
lacrimal tumors/cutaneous incision/nasal endoscopic/papilloma/NUT carcinoma分类
临床医学引用本文复制引用
王成美,赵一凡,王红琳,姬大卫,曹颖,逄作祥..经皮肤切口联合鼻内镜入路行泪道肿瘤切除2例报告并文献复习[J].眼科学报,2025,40(1):74-84,11.
