NEJM:眼内长出毛发

2013-01-10 NEJM 好医 Steven译

        如果眼睛里长出了睫毛,一定会很让人烦恼。《新英格兰医学期刊》近期报道了一则消息说伊朗一名19岁的男孩,在眼睛里长了一个“毛肿瘤”。   这个肿瘤长在男孩的角膜缘,呈皮样囊肿,非常罕见。参与男孩治疗工作的来自纽约勒诺克斯山医院的眼科医师Mark Former博士称,他在从医生涯中只遇到过一两次这样的病例,他说:“这些肿瘤含有一些常见于身体其他部位的组

  1

  

  如果眼睛里长出了睫毛,一定会很让人烦恼。《新英格兰医学期刊》近期报道了一则消息说伊朗一名19岁的男孩,在眼睛里长了一个“毛肿瘤”。

  这个肿瘤长在男孩的角膜缘,呈皮样囊肿,非常罕见。参与男孩治疗工作的来自纽约勒诺克斯山医院的眼科医师Mark Former博士称,他在从医生涯中只遇到过一两次这样的病例,他说:“这些肿瘤含有一些常见于身体其他部位的组织。通常情况下,角膜缘皮样囊肿都含有一些毛囊,但同时也可能包含其它类型的组织,如软骨、汗腺等。”

  男孩在接受相关手术后,成功地将毛肿瘤移除。希望以后毛发只在他的头上长,而不是眼睛里。

  编者笔记:在全球的癌症患者中,每8个就有1个会因这种疾病而死亡。癌症会对所有国家的人们造成影响,不分性别、种族以及经济状况等,癌症面前,人人平等。因此,人们在日常生活中要积极做好预防工作,从饮食、生活习惯等方面入手,避免自己患上癌症;而一旦出现一些不适或可以迹象,应及时到医院做相关筛选检查,做到早发现;此外,如果癌症得到确诊,要积极配合医务人员的治疗,同时做好患者的护理工作,从各个方面为治疗保驾护航,使其达到最佳效果。

A 19-year-old man presented to our ophthalmology clinic with a mass in his right eye that had been present since birth but had gradually increased in size. He did not have pain, but the mass caused vision defects, mild discomfort on blinking, and the intermittent sensation of the presence of a foreign body. Physical examination revealed a white, ovoid mass, 5 mm by 6 mm, that straddled the inferotemporal limbus (Panel A), with several black hairs (Panel B). Visual acuity was 20/20 in the left eye and 20/60 in the right eye. Intraocular pressure was normal. The differential diagnoses included limbal dermoid, foreign-body granuloma, atypical pterygium, and corneal scar. The appearance of the mass, with hairs present, was indicative of limbal dermoid. The lesion was excised, and lamellar keratoplasty was performed for cosmetic reasons. Pathological findings confirmed the diagnosis of limbal dermoid. As expected, there was little improvement in visual acuity after surgery because of the amblyopia and induced astigmatism.