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DOI: 10.1055/a-1488-0383
Bindehautdegenerationen und -neoplasien
Conjunctival Degeneration and Neoplasia![](https://www.thieme-connect.de/media/augenheilkunde-u2d/202202/lookinside/thumbnails/10-1055-a-1488-0383_kl-au_auw-1.jpg)
Zusammenfassung
Erhabenheiten der Bindehaut entstehen durch Gewebevermehrung, die entweder degenerativ oder neoplastisch, aber auch entzündlich sein können. In diesem Artikel werden degenerative (Pterygium und Pinguecula) sowie benigne und maligne neoplastische Bindehautveränderungen (epitheliale, melanozytäre und vaskuläre Tumoren, Choristome sowie Metastasen) bezüglich der Pathogenese, Symptome, Diagnostik und aktuellem Stand der Behandlung dargestellt.
Abstract
Conjunctival tumors result from gain of tissue, which can be either degenerative or neoplastic, but also inflammatory. In this article, degenerative (pterygium and pinguecula) as well as benign and malignant neoplastic conjunctival changes (epithelial, melanocytic and vascular tumors, choristomas as well as metastases) are discussed with regard to pathogenesis, symptoms, diagnostics and current status of treatment.
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Eine Degeneration der Bindehaut zeigt sich hauptsächlich in 2 Formen: als Pterygium und Pinguecula.
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Die echten Neoplasien der Bindehaut entstehen in der Regel aus Zellen, die sich in der Bindehaut befinden.
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Die Entstehung vieler Bindehauttumoren scheint UV-getriggert zu sein.
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Die No-Touch-Technik im Rahmen der chirurgischen Tumorentfernung ist bei potenziell metastasierenden Tumoren wie malignem Melanom, Talgdrüsen- und Plattenepithelkarzinom anzustreben.
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Die regelmäßige Nachsorge bei potenziell metastasierenden und rezidivierenden Bindehauttumoren ist essenziell.
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Junktionale Aktivität bei einem Nävuszellnävus des Erwachsenen soll Anlass zu regelmäßigen Kontrollen der Exzisionsstelle geben.
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Die meisten vaskulären Bindehauttumoren sind benigne; eine wichtige Ausnahme ist jedoch das Kaposi-Sarkom.
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Ein Bindehautmelanom kann unpigmentiert sein und sich gelegentlich erst durch eine systemische Metastase bemerkbar machen. Dadurch wird es anfänglich leicht fehldiagnostiziert.
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Eine einseitige therapierefraktäre Konjunktivitis spricht insbesondere bei älteren Patienten bis zum Beweis des Gegenteils für ein Malignom.
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Ein isoliertes Bindehautlymphom soll nach histologischer Diagnosesicherung in erster Linie bestrahlt werden.
Publication History
Article published online:
25 May 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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