눈물점 근처 종양의 임상양상과 치료
Clinical Features and Treatment of Peripunctal Tumors
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목적: 눈물점근처 종양의 임상 양상 및 치료방법에 대하여 알아보고자 하였다. 대상과 방법: 2005년부터 2011년까지 눈물점근처 종양으로 진단된 환자들의 의무기록을 후향적으로 검토하였다. 결과: 총 29명의 눈물점근처 종양 중, 5명(17.2%)은 위눈꺼풀, 22명(75.9%)은 아래눈꺼풀에 발생하였다. 2명(6.9%)은 위아래눈꺼풀 모두를 침범하였는데, 그중 1명은 결막도 함께 침범하였다. 경과관찰만을 한 경우는 1명(3.5%), 절제조직검사만을 시행한 경우가 7명(24.1%), 절제조직검사에 더해 실리콘 튜브 및 미니모노카 삽관을 시행한 경우가 21명(72.4%)이었다. 조직검사 결과는 색소세포성 모반15명(53.6%), 기저세포암 5명(17.9%), 지루각화증 2명(7.1%) 등이었다. 결론: 그러므로 되도록 수술적 절제 및 조직검사를 시행하는 것이 권유된다. 이에 더해 눈물점의 기능을 보존하기 위한 실리콘튜브및 미니모노카 삽관 등이 필요할 것으로 생각한다.
Abstract
Purpose: To investigate the clinical features and treatment results in peripunctal tumors. Methods: A retrospective medical record review was conducted on patients that were clinically diagnosed with peripunctal tumor from October 2005 to June 2011 in Dong-A University Hospital. Results: Twenty nine peripunctal tumors were identified. Five cases (17.2%) were involving upper eyelid and 22 cases (75.9%) were involving lower eyelid. Two cases (6.9%) were involving both upper and lower eyelid, which one of them were involving the conjunctiva as well. One of the patients (3.5%), underwent simple observation without surgery. Simple surgical resection and biopsy were performed in 7 cases (24.1%), and additional silicone tube intubation or Minimonoka insertion were carried-out in 21 cases (72.4%). Histology revealed 15 cases (53.6%) of melanocytic nevus, 5 cases (17.9%)of basal cell carcinoma, 2 cases (7.1%) of seborrheic keratosis, and others including malignant melanoma, squamous papilloma, epidermal cyst, and et cetra. Conclusions: In conclusion, Peripunctal tumors are mostly found on the lower lids and, they are surgical resection and biopsy should be considered in all cases of peripunctal tumors since they have a potential for spreading to the lacrimal system. It is advised to perform a silicone tube intubation or minimonoka insertion along with the surgical excision to preserve the function of the punctum.
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