| Sažetak | CILJ ISTRAŽIVANJA:
Cilj ovog rada je bio utvrditi kliničke i epidemiološke karakteristike bolesnika s malignim
tumorima vjeđa u splitskoj regiji.
ISPITANICI I METODE:
Istraživanje je provedeno na Klinici za očne bolesti KBC-a Split. Uključivalo je sve bolesnike
koji su bili hospitalizirani pod dijagnozom malignog tumora vjeđe u razdoblju od 6 godina
(2007. - 2012.). Podatci su retrospektivno prikupljeni iz popisa stanovništva iz 2011. godine,
knjige protokola, kartoteka povijesti bolesti i patohistoloških nalaza te su obrađeni u
programu Microsoft Office Excel 2007.
REZULTATI:
U razdoblju od 6 godina (2007. - 2012.) analiziran je 141 bolesnik, od toga 68 muškaraca i 73
žene. Prosječna dob populacije iznosila je 72,2 godine, a prosječna godišnja incidencija
iznosila je 5,2 na 100 tisuća stanovnika. Lijevo oko je zahvaćeno u 73 bolesnika, a desno u
68. Najveći broj bolesnika stanuje na obalnom području regije (n=78), ali je populacija na
otocima najugroženija (9 slučajeva godišnje na 100 tisuća stanovnika). Patohistološkom
analizom bioptata utvrđen je najveći broj bazocelularnih karcinoma (n=120), nakon toga
planocelularnih karcinoma (n=15), sebacealnih karcinoma (n=3), karcinoma Merkelovih
stanica (n=2) i karcinom ovojnice perifernog živca (n=1). Bazocelularni karcinom je češći
kod žena (62:58), a planocelularni kod muškaraca (9:6). Najčešće lokalizacije tumora su bile
donja vjeđa (n=75) i medijalni kantus (n=44), dok su ostala mjesta manje zahvaćena. Također
je utvrđeno da je bazocelularni karcinom prisutan u većini slučajeva na donjoj vjeđi (n=66) i
medijalnom kantusu (n=41), dok je planocelularni karcinom na gornjoj i donjoj vjeđi prisutan
u jednakom broju slučajeva (n=6). Svi su bolesnici bili kirurški liječeni.
ZAKLJUČAK:
Maligni tumori vjeđa podjednako se javljaju kod muškaraca i žena u starijoj životnoj dobi.
Najvišu incidenciju u regiji ima stanovništvo na otocima, a najčešći lokaliteti su donja vjeđa i
medijalni kantus. Bazocelularni karcinom je patohistološki tip prisutan u većini slučajeva. |
| Sažetak (engleski) | AIM:
The aim of this study was to determine clinical and epidemiological characteristics of patients
with malignant eyelid tumours in city of Split and surrounding region.
PATIENTS AND METHODS:
The study was conducted at the Department of Ophthalmology, University hospital centre
Split. It included all patients who were hospitalized under the diagnosis of malignant eyelid
tumours in a period of 6 years (2007 - 2012). Data were retrospectively collected from the
census of 2011, logbook (protocol), medical history files and pathohistological findings, and
were processed in Microsoft Office Excel 2007.
RESULTS:
In a period of 6 years (2007 - 2012) we analyzed 141 patients, of which 68 men and 73
women. The average age of the population was 72,2 years, while the average annual incidence
was 5,2 per 100 thousand inhabitants. Left eye was affected in 73 patients, and right in 68.
Most of the patients live in coastal regions (n=78), but population in the islands is most
vulnerable (9 cases per year per 100 thousand inhabitants). Pathohistological analysis of
biopsy sample found the largest number of basal cell carcinomas (n=120), followed by
squamous cell carcinoma (n=15), sebaceous cell carcinoma (n=3), Merkel cell carcinoma
(n=2) and peripheral nerve sheath carcinoma (n=1). Basal cell carcinoma is more common in
female patients (62:58), and squamous cell in males (9:6). The most common tumor location
was lower eyelid (n=75) and medial canthus (n=44), while the other places were less affected.
It was also found that the basal cell carcinoma is present in most of the cases on the lower
eyelid (n=66) and the medial canthus (n=41), while the squamous cell carcinoma is present in
the same number of cases on the upper and lower eyelid (n=6). All patients were surgically
treated.
CONCLUSION:
Malignant eyelid tumors can occur equally in men and women at an older age. The highest
incidence in the region has a population on the islands, and the most common sites are lower
eyelid and medial canthus. Basal cell carcinoma is pathohistological type present in most of
the cases. |
