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中华眼科医学杂志(电子版) ›› 2019, Vol. 09 ›› Issue (01) : 51 -55. doi: 10.3877/cma.j.issn.2095-2007.2019.01.008

病例报告

泪腺结核性肉芽肿一例
柳睿1, 葛心1, 马建民1,()   
  1. 1. 100730 首都医科大学附属北京同仁医院北京市眼视光与视觉科学重点实验室
  • 收稿日期:2018-12-20 出版日期:2019-02-28
  • 通信作者: 马建民
  • 基金资助:
    北京市自然基金课题(7182038); 首都临床特色应用研究项目(Z15110000401511)

Tuberculous granuloma of lacrimal gland: a case report

Rui Liu1, Xin Ge1, Jianmin Ma1()   

  • Received:2018-12-20 Published:2019-02-28
  • Corresponding author: Jianmin Ma
引用本文:

柳睿, 葛心, 马建民. 泪腺结核性肉芽肿一例[J]. 中华眼科医学杂志(电子版), 2019, 09(01): 51-55.

Rui Liu, Xin Ge, Jianmin Ma. Tuberculous granuloma of lacrimal gland: a case report[J]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2019, 09(01): 51-55.

图1 患者眼眶术前计算机断层扫描及磁共振成像扫描结果 A图显示眼眶计算机断层扫描横断位,示双侧泪腺组织呈高密度改变,肿胀明显增大;B图显示磁共振成像扫描冠状位T2像,示双侧泪腺不规则肿大,呈等信号;C图显示磁共振成像增强扫描冠状位T1像,示双侧泪腺区强化明显;D图显示磁共振成像扫描横断位T1像,示双侧泪腺区肿大不规则,呈等信号;E图显示磁共振成像增强扫描横断位T1像,示双侧泪腺区肿大,强化明显;F图显示磁共振成像扫描横断位T2像,示双侧泪腺区肿大,边界尚清,呈等信号
图2 左眼切除泪腺病理组织学检测结果 A图显示病变泪腺组织呈慢性炎症,伴有大量淋巴细胞浸润,其内可见类上皮细胞肉芽肿形成,肉芽肿内可见大面积坏死;B图显示病变泪腺组织中有大量淋巴细胞浸润,可见肉芽肿形成(HE染色×100)
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