Lee G A, Cominos D, Sullivan T J
Department of Ophthalmology, Royal Brisbane Hospital, Herston, Australia.
Aust N Z J Ophthalmol. 1999 Feb;27(1):71-3. doi: 10.1046/j.1440-1606.1999.00136.x.
Mucinous carcinoma of the skin is a rare tumour that may involve the peri-ocular region.
METHODS/RESULTS: A case report is presented of a 73-year-old woman with a right upper lid tumour, initially diagnosed as a basal cell carcinoma. Excisional biopsy of the residual tumour revealed mucinous carcinoma. Re-examination of the original pathology proved to be mucinous carcinoma, originating in the eyelid skin. Further treatment involved wide local resection and reconstruction. Systemic investigations were undertaken to exclude the possibility of metastatic mucinous carcinoma.
This case is presented to alert ophthalmologists to the occurrence of this tumour in the periocular region, to highlight the importance of surgical excision with wide margins and the need for systemic investigation to exclude a primary malignancy in other sites, in particular the gastrointestinal system and breast.
皮肤黏液癌是一种罕见的肿瘤，可累及眼周区域。
方法/结果：报告一例73岁女性，右上睑肿物，最初诊断为基底细胞癌。残余肿瘤切除活检显示为黏液癌。对原病理切片重新检查证实为起源于眼睑皮肤的黏液癌。进一步治疗包括广泛局部切除和重建。进行了全身检查以排除转移性黏液癌的可能性。
本文报告此病例，旨在提醒眼科医生注意眼周区域发生这种肿瘤的情况，强调广泛切缘手术切除的重要性，以及进行全身检查以排除其他部位原发性恶性肿瘤（特别是胃肠道系统和乳腺）的必要性。
