Population-Based Incidence and Clinical Characteristics of Ocular Adnexal Tumors in Olmsted County, Minnesota.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Kenny Y Wang, Timothy T Xu, Mihai G Dumbrava, Kafayat A Oyemade, Johanny Lopez Dominguez, David O Hodge, Launia J White, Andrea A Tooley, Lauren A Dalvin
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引用次数: 0

Abstract

Purpose: To determine the incidence and clinical characteristics of ocular adnexaltumors in Olmsted County, Minnesota.

Methods: Retrospective population-based cohort study of all patients residing in Olmsted County, Minnesota diagnosed with any ocular tumor from January 1, 2006, to December 31, 2015. The medical records of all patients with an incident diagnosis of any ocular adnexal tumor were reviewed using the Rochester Epidemiology Project medical record linkage system for patient demographics, tumor type, and histopathologic confirmation. Incidence rates were calculated per 100,000 person-years. Poisson regression analysis was used to analyze changes in incidence over time.

Results: There were 717 patients diagnosed with ocular adnexal tumors during the 10-year study period, yielding an age- and sex-adjusted incidence rate of 59.7 per 100,000 (95% CI 55.4 to 64.0, p < 0.05) per year. In total, 764 tumors were diagnosed. Most tumors were eyelid lesions (N = 756, 99.0%), which were mostly benign (N = 512, 67.8%) with epidermal inclusion cysts (N = 275, 36.0%), hidrocystoma (N = 70, 9.2%), and eyelid sebaceous cysts (N = 46, 6.1%) accounting for the majority. Malignant eyelid lesions (N = 244, 31.9%) were relatively common with basal cell carcinoma (N = 184, 24.1%) and squamous cell carcinoma (N = 49, 6.4%) having the highest frequencies. Orbital tumors (N = 8, 1.0%) were infrequent. Of the orbital tumors, the most common was lacrimal gland adenoidcystic carcinoma (N = 2, 25.0%).

Conclusions: In a population-based setting, most ocular adnexal tumors were benign eyelid lesions. Understanding the epidemiology of ocular adnexal tumors is important to aid providers in diagnosing and facilitating appropriate referrals of potentially vision- and life-threatening malignancies.

明尼苏达州奥姆斯特德县眼部附件肿瘤的人群发病率和临床特征。
目的:确定明尼苏达州奥姆斯特德县眼部附件肿瘤的发病率和临床特征:方法:对居住在明尼苏达州奥姆斯特德县的 2006 年 1 月 1 日至 2015 年 12 月 31 日期间确诊患有任何眼部肿瘤的所有患者进行基于人群的回顾性队列研究。研究人员使用罗切斯特流行病学项目(Rochester Epidemiology Project)病历链接系统对所有被诊断为眼部附件肿瘤的患者的病历进行了审查,以了解患者的人口统计学特征、肿瘤类型和组织病理学证实。发病率按每 10 万人年计算。采用泊松回归分析法分析发病率随时间的变化:结果:在 10 年的研究期间,共有 717 名患者被诊断为眼部附件肿瘤,经年龄和性别调整后的发病率为每 10 万人中 59.7 例(95% CI 55.4 至 64.0,P N = 756,99.0%),其中大部分为良性病变(N = 512,67.8%),表皮包涵囊肿(N = 275,36.0%)、息肉囊肿(N = 70,9.2%)和眼睑皮脂腺囊肿(N = 46,6.1%)占大多数。眼睑恶性病变(244 例,31.9%)相对常见,其中基底细胞癌(184 例,24.1%)和鳞状细胞癌(49 例,6.4%)发病率最高。眼眶肿瘤(8 例,1.0%)并不常见。在眼眶肿瘤中,最常见的是泪腺腺样囊性癌(2 例,25.0%):结论:在以人群为基础的环境中,大多数眼部附件肿瘤是眼睑良性病变。了解眼部附件肿瘤的流行病学非常重要,有助于医疗服务提供者对可能危及视力和生命的恶性肿瘤进行诊断和适当转诊。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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