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1
題名:EOSINOPHILIC LYMPHOGRANULOMA (KIMURA'S DISEASE) OFLACRIMAL GLAND──A CASE REPORT     (12點)
淚腺之嗜伊紅性淋巴肉芽腫(Kimura 氏病)──病例報告
著者:Chia-Ling Lee(李佳玲) ;Pei-Hisn Hu(胡佩欣) ;Cheng-Hsien Chang(張丞賢) ;Shiuh-Liang Hsu(徐旭亮) ;Ming-Yang Sul(蘇明揚)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Kimura's disease ; eosinophilic Iymphogranuloma ; orbit
刊名:中華民國眼科醫學會雜誌
卷期:45卷4期(2006.12)
頁碼:419-424
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:報告一罕見於老年人眼窩之間mura 氏病。 方法:病例報告。 結果:一78 歲之老年男性,左眼球於7 個月間 逐漸突出。眼外肌運動略受限。斷層掃描顯示一源於 淚腺之顯影腫塊占據球後空間。胸部X 光發現一右 上肺結節。臨床診斷疑眼窩之淋巴增生性疾病或肺癌 轉移,接受眼窩切開併切片診斷。組織學檢查結果為 Kimura 氏病:淋巴組織結節增生併嗜伊紅性白血球 浸潤及微血管增生。免疫生化分析結果:CD3 及CD20 (+)之分佈顯示淋巴結節之結構。CDIO 及bcl-2a 陰 性反應排除淋巴惡性腫瘤之可能。結果為一炎性反 應,與Kimura 氏病相符。治療以口服prednisolone ' 起始每天的毫克,腫塊逐漸縮小,眼球突出改善。 結論:報告一例台灣年紀最大,發生於眼窩之 Kimura 氏病。診斷根據組織病理以及免疫分析。
Purpose: To report an unusual presentation of orbital Kimura's disease in an elderly patient. Method: Case report. Result: A 78-year-old male presented with a slowly protruding left eyeball that had developed over 7 months. Extraocular muscle motility was mildly limited. Orbital CT scan revealed an enhanced tumor arising from the lacrimal gland, occupying almost the whole retrobulbar space. Chest X-ray revealed a pulmonary nodule over the right upper lung field. Under the impression of orbital Iymphoproliferative disorder or metastatic lung cancer, he received diagnostic biopsy through lateral orbitotomy. Histological examination demonstrated follicular hyperplasia of Iymphoid tissue with variable inte 斤。IIicular eosinophil infiltration and proliferation of thin wall vessels. A complete set of immunocytochemical analysis helped to reach a diagnosis of Kimu 悶's disease. Immunostaining of CD3 and CD20 demonstrated structures of Iymphoid follicles. Absence of CD10 and bcl-2a reactivity excluded the suspicion of lymphoid malignancy. Treatment with oral prednisolone, starting from 15 mg per day, gradually stabilized the proptosis. Conclusion: This is a case of orbital Kimu 悶's disease with the oldest-aged patient reported in Taiwan. Diagnosis was based on histopathological findings with complete immuno-histological analysis.


    

本卷期目次
中華民國眼科醫學會雜誌 45卷4期 (2006.12)
OPHTHALMOLOGIC ABNORMALITIES IN TEENAGERS WITH DOWN'S SYNDROME/ Mei. Ling LiuYi-Sheng ChangHon-Chun ChengMin-Hsiu ShihSung-Huei TsengChia-Lia Teng
CIRCUMSCRIBED CHOROIDAL HEMANGIOMA COMPARISON OF OUTCOMES BY TREATMENT WITH LASER PHOTOCOAGULATION OR TRANSPUPILLARY THERMOTHERAPY/ Chih-Wei ShihChang-Hao YangChung-May YangJen-Shang HuangChang-Pin LinTzyy-Chang HoMuh-Shy Chen
PARANASAL SINUSITIS FOLLOWING ORBITAL DECOMPRESSION IN PATIENTS WITH GRAVES' OPHTHALMOPATHY/ Lan LeeLih MaShu-Ya WuYueh-Ju Tsai
BREAKDOWN OF THE BLOOD-AQUEOUS BARRIER CAUSED BY ARGON LASER PANRETINAL PHOTOCOAGULATION IN THE RABBIT RETINA/ Muh-Shy ChenChing-Chung ChangSzu-Yuan LinPeng-Chen WangPing-Kang Hou
OUTCOMES OF TRABECULECTOMY VERSUS TRABECULECTOMY COMBINED WITH DEEP SCLERECTOMY IN GLAUCOMA PATIENTS──15-MONTH FOLLOW-UP (A PRELIMINARY REPORT)/ Min-Wen HsuShiuh-Liang HsuKwou-Yeung Wu
VITRECTOMY WITHOUT INTERNAL LIMITING MEMBRANE PEELING FOR MACULAR RETINOSCHISIS IN HIGHLY MYOPIC EYES/ Shu-I YehWei-Chun ChanLee-Jen Chen
配戴各類型隱形眼鏡下人類免疫球蛋白A之比較/ 洪啟庭鍾漢軍陳福安劉峻正陳建同孫昭玲
斜視術後類固醇引起之高眼壓/ 李美侖黃福進史敏秀
JUXTAPAPILLARY CHOROIDAL MELANOMA──A CASE REPORT/ Feng-Chi LinJiann-Torng ChenChiao-Hong ChenPo-Liang ChenDa-Wen Lu
EOSINOPHILIC LYMPHOGRANULOMA (KIMURA'S DISEASE) OFLACRIMAL GLAND──A CASE REPORT/ Chia-Ling LeePei-Hisn HuCheng-Hsien ChangShiuh-Liang HsuMing-Yang Sul
AMNIOTIC MEMBRANE TRANSPLANTATION FOR PERSISTENT CORNEAL EPITHELIAL DEFECT AND ULCERATION/ Chia-Hung LiMing-Cheng TaiJiann-Tomg ChenI Jy-Been LiangDa-Wen Lu
RETINALASTROCYTIC HAMARTOMA COMPLICATED WITH VITREOUS HEMORRHAGE IN TUBEROUS SCLEROSIS/ Chao-Kung LuShih-Jen ChenFenq-Lih LeeWen-Ming Hsu
ANTERIOR CAPSULAR PHIMOSIS AFTER SUCCESSFUL SURGERY FOR A PATIENT WITH TRAUMATIC ATARACT: CASE REPORT/ Chih-Hsien HsiaoCheng-Jong ChangPo-Liang Chen
CONJUNCTIVAL SEBACEOUS CARCINOMA WITH AN UNUSUAL CLINICAL COURSE──A CASE REPORT/ Hsiao-Yen ChenHon-Chun ChengSung-Huei TsengYi- Chang Tsai
FAMILIAL EXUDATIVE VITREORETINOPATHYA──CASE REPORT/ Chun-Pin TsaiDer-Chong TsaiLing-Ing LauFenq-Lih LeeWen-Ming Hsu
 
   
 
   

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