眼睑皮脂腺癌2例报告并文献复习

P. Bhadani, U. Bhadani
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引用次数: 0

摘要

背景:眼睑皮脂腺癌是罕见的。诊断可能是困难的,因为它可以伪装成其他眼周病变。与大多数其他眼睑恶性肿瘤相比,预后仍被认为较差,死亡率仅次于恶性黑色素瘤。本报告病例分析临床和组织病理学结果。病例报告:这里介绍了两个病例报告。一例为75岁女性左下眼睑进行性无痛性肿块的主诉,另一例为30岁年轻患者,有复发史,既往因同样的主诉手术,既往无报告。两例病理报告均为皮脂腺癌。结论:眼睑皮脂腺癌的早期诊断和手术治疗比一般认为的预后好,生存率高。甚至局部复发也能成功治疗。然而,皮脂腺癌仍然是一种危险的疾病,在一篇英文文献中,9%的皮脂腺癌导致死亡,23%的皮脂腺癌导致致残。
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Sebaceous Carcinoma of Eyelid: A Report of Two Cases with Review of Literatur
Background: Sebaceous carcinoma of the eyelid is rare. The diagnosis might be difficult because of its ability to masquerade as other periocular lesions. Prognosis is still regarded as being poor compared with most other malignant eyelid tumors with a mortality second only to malignant melanoma. The present reported cases analyses clinical and histopathological findings. Case Reports: Two case reports were presented here. One presented as primary complaint of progressive painless mass in left lower eyelid in a 75 year female and another case in young 30 year old with history of recurrence, operated previously for the same complaint with unavailable previous report. Both cases on histopathology reported as sebaceous gland carcinoma. Conclusion: Early diagnosis and consequent surgical therapy of sebaceous carcinoma of the eyelid leads to a better outcome and higher survival rates than generally assumed. Even local recurrences can be treated successfully. However, sebaceous carcinoma remains a threatening disease, which leads to death in 9% and to mutilating exenteration in 23% published in an English literature.
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