Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report.
Cost-effective treatment of ocular surface squamous neoplasia for an undocumented and uninsured New York City patient: a case report.
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DOI：
10.1186/s13256-020-02510-w
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发表时间：
2020-10-02
影响因子：
1
通讯作者：
Kirsch DS
中科院分区：
文献类型：
--
作者：
Saffra NA;Emborgo TS;Iacob CE;Kirsch DS
纽约市人口异质性，有许多来自赤道地区的无证和无保险移民，他们的眼表鳞状瘤发病率较高。据我们所知，这是第一次有记录地选择这种具有成本效益的眼表鳞状肿瘤治疗方法(沿着角膜边缘使用无水乙醇，一次切除，二次冻融冷冻固定术，一次结膜关闭)，用于无证和无保险的纽约市患者。一名来自厄瓜多尔的35岁男子因长期的左眼翼状胬肉日益严重的不适而向纽约市急诊科就诊。左眼裂隙灯检查显示鼻侧结膜肿块6 × 8 mm延伸至角膜(角膜上方3 mm，下方6 mm)。组织学诊断证实原位鳞状细胞癌起源于翼状胬肉。手术切除辅以无水酒精加二次冻融固定术。我们的病人在第二年的术后随访中仍然没有肿瘤复发。我们的病例强调了在无证和无保险的高危人群中选择一种经济有效的治疗眼表鳞状瘤的必要性。世界上有类似类型人口或治疗困难的地区可能需要考虑将这种方法作为主要治疗选择。
New York City has a heterogeneous population with many undocumented and uninsured immigrants from equatorial areas who have a higher incidence of ocular surface squamous neoplasia. To the best of our knowledge, this is the first documented selection of this cost-effective treatment of ocular surface squamous neoplasia (the use of absolute ethanol along the corneal margin, primary excision, double freeze-thaw cryopexy, and primary conjunctival closure) for an undocumented and uninsured New York City patient. A 35-year-old man from Ecuador presented to a New York City emergency department due to worsening discomfort of a long-standing left eye pterygium. A slit-lamp examination of the left eye demonstrated a nasally located conjunctival mass measuring 6 × 8 mm extending onto the cornea (3 mm superiorly and 6 mm inferiorly on the cornea). Histological diagnosis confirmed squamous cell carcinoma in situ arising from the pterygium. Surgical excision with adjunctive absolute alcohol with additive double freeze-thaw cryopexy was performed. Our patient has remained free of tumor recurrence at year 2 postoperative visit. Our case highlights the need to choose a cost-effective treatment for ocular surface squamous neoplasia in an at-risk population among undocumented and uninsured patients. Areas in the world with similar types of populations or treatment challenges may need to consider this approach as a primary treatment option.
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影响因子：
168.9
作者：
Newton, R;Ferlay, J;Parkin, DM
通讯作者：
Parkin, DM
影响因子：
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作者：
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影响因子：
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DOI：
10.1073/pnas.83.1.130
发表时间：
1986-01-01
影响因子：
11.1
作者：
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通讯作者：
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