양안 결막 아밀로이드증 진단과 결막종괴절제 및 냉동치료술 1예

• 영문명: A Case of Bilateral Conjunctival Amyloidosis Treated with Mass Excision and Cryotherapy
• 발행기관: 대한안과학회
• 저자명: 김보윤 송지혜 양석우 김만수,Boyun Kim, MD, Ji Hye Song, MD, Suk-Woo Yang, MD, Man Soo Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number5, 628~632쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2011.05.15

영문 초록

Purpose: To report the treatment results of mass excision and cryotherapy in a case of bilateral conjunctival amyloidosis. Case summary: A 72-year-old man with conjunctival mass and foreign body sensations in both eyes visited our clinic. He was previously diagnosed with conjunctival lymphoma after conjunctival biopsy at another hospital. A yellow-pink colored mass was observed in the bulbar conjunctiva. A repeated conjunctival biopsy revealed the mass to be amyloid, consistent with the cervical lymph node biopsy results, and the diagnosis was changed to primary systemic amyloidosis. The patient was treated with melphalan and prednisolone; however, the ocular pain, symblepharon, and conjunctival mass progressed. A 360 degree conjunctivoperiotomy, mass excision, and repeated cryotherapy were performed in the more severely affected left eye. The patient was followed for one year, and there were no complications or progression of the conjunctival lesion. Conclusions: Conjunctival amyloidosis requires local pathologic confirmation as well as a systemic work-up. If surgical removal is necessary despite systemic treatment, mass excision and cryotherapy may be effective. J Korean Ophthalmol Soc 2011;52(5):628-632

키워드

Congo-red, Conjunctival amyloidosis, Cryotherapy