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[全身疾病中的眼睑肿瘤性改变]

[Tumorous eyelid changes in systemic diseases].

作者信息

Baumgartner R, Spina G, Senn B

机构信息

Klinik für Augenkrankheiten, Kantonsspital St. Gallen.

出版信息

Klin Monbl Augenheilkd. 1992 May;200(5):543-4. doi: 10.1055/s-2008-1045822.

Abstract

Lid tumors appear to invite the physician to make a diagnosis at first glance. This poster displays examples of lid tumors that occur in the context of malignancies, inflammatory and metabolic diseases and phacomatoses. The most frequent primary sites in metastatic eyelid tumors are the breast, the lung and cutaneous melanoma. Because of their comparatively low incidence and variable appearance these lid tumors are, at least in the beginning, often misinterpreted. Careful differential diagnosis may help in avoiding the diagnostic pitfalls of the masquerade syndromes. Lid tumors associated with sarcoidosis, lupus erythematosus discoides, lupus vulgaris, syphilis are briefly mentioned. Xanthelasmas occur more frequently in diabetics than in the normal population. About 5% of patients with xanthelasma suffer from hyperlipidemia. Neurofibromas and cavernous hemangiomas of the lid may accompany von Recklinghausen's and Sturge-Weber's diseases.

摘要

眼睑肿瘤乍一看似乎促使医生做出诊断。这张海报展示了发生于恶性肿瘤、炎症性和代谢性疾病以及 phacomatoses 背景下的眼睑肿瘤实例。转移性眼睑肿瘤最常见的原发部位是乳腺、肺和皮肤黑色素瘤。由于这些眼睑肿瘤发病率相对较低且外观各异,至少在初期它们常常被误诊。仔细的鉴别诊断有助于避免伪装综合征的诊断陷阱。文中简要提及了与结节病、盘状红斑狼疮、寻常狼疮、梅毒相关的眼睑肿瘤。睑黄瘤在糖尿病患者中比在正常人群中更常见。约 5%的睑黄瘤患者患有高脂血症。眼睑的神经纤维瘤和海绵状血管瘤可能伴有冯·雷克林豪森病和斯特奇 - 韦伯病。

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