A 26-year-old man presented to the ophthalmology clinic with a 2-month history of a painless, reddish growth on his left eye. A physical examination was notable for the presence of a sessile mass protruding just above the lower eyelid. When the eyelid was lowered, the entire mass — including its vascular fronds and episcleral feeder vessel — was visible on the surface of the inferior bulbar conjunctiva. What is the most likely diagnosis?
一名26岁男子因左眼无痛、红色生长2个月就诊眼科。体格检查发现下眼睑上方有一个突出的无根肿块。当眼睑下垂时,在球下结膜表面可见整个肿块,包括其血管叶和膜外给血管。最可能的诊断是什么?
![每日一题_2024.07.11](https://zyicu.cn/wordpress/wp-content/themes/justnews/themer/assets/images/lazy.png)
A. Capillary hemangioma毛细血管瘤
B. Conjunctival papilloma结膜乳头状瘤
C. Pinguecula结膜黄斑
D. Pterygium翼状胬肉
E. Squamous cell carcinoma鳞状细胞癌
答案解析:
正确答案是结膜乳头状瘤。手术切除并冷冻治疗。标本的组织病理学评估显示乳头状分层鳞状上皮增生,纤维维管组织为核心。结膜乳头状瘤是眼部最常见的良性肿瘤之一。它最常见于年轻人,与人乳头瘤病毒有关,该患者未接种过该病毒疫苗。治疗方案包括局部治疗干扰素α -2b,冷冻治疗手术,或两者兼而有之。在3个月的随访中,病变未复发。
正确答案:B
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