Brewitt H, Hansen M K, Huerkamp B
Klin Monbl Augenheilkd. 1975 Apr;166(4):503-14.
From 1959-1973 128 patients with tumors of the eyelids were treated at the "Augenklinik im Krankenhaus Nordstadt Hannover"; in 103 cases the diagnosis of basal cell carcinoma was histologically proved. With 62.1% of male patients prevailed the female patients with 37.9%. The age of the patients, localisation of the tumors, previous treatment and duration of involvement are discussed in detail. With the exception of 3 cases, which had a primary or secondary radiation they were surgically treated. A short explanation of the technics is given. In 82 out of 101 surgically treated cases (81%) the patients were clinically healed by a single operative treatment. During our observation there was no recurrence. Together with the number of patients, who were treated for several time, the over-all-cure-rate was 98.2%. Complications of surgical treatment are described and compared with those of other types of therapy. According to our results and as mentioned in the literature basal cell carcinomas of the peri-orbital region should be treated only by ophthalmologists. Lifelong control is necessary because of the extraordinary character of the tumor, which shows many exceptions in regard to basal cell carcinomas on other parts of the body.
1959年至1973年期间,汉诺威北市医院眼科诊所治疗了128例眼睑肿瘤患者;其中103例经组织学证实为基底细胞癌。男性患者占62.1%,女性患者占37.9%。详细讨论了患者的年龄、肿瘤的位置、既往治疗情况和患病时长。除3例接受过一次或二次放疗外,其余患者均接受了手术治疗。文中对手术技术做了简要说明。在101例接受手术治疗的患者中,有82例(81%)通过单次手术治疗实现了临床治愈。在我们的观察期内,无复发情况。加上接受多次治疗的患者数量,总体治愈率为98.2%。文中描述了手术治疗的并发症,并与其他治疗方式的并发症进行了比较。根据我们的研究结果以及文献所述,眶周区域的基底细胞癌应由眼科医生进行治疗。鉴于该肿瘤的特殊性,终身监测是必要的,它在许多方面与身体其他部位的基底细胞癌有所不同。