Zieliński Tomasz, Pisera Paweł, Siewiera Ireneusz, Sporny Stanisław, Iljin Aleksandra
Uniwersytet Medyczny w Łodzi, Klinika Chirurgii Plastycznej, Rekonstrukcyjnej i Estetycznej.
Pol Merkur Lekarski. 2013 Apr;34(202):214-8.
Eyelid tumors constitute 5 to 10% of all skin malignancies. They mostly affect the elderly, chronically exposed to sunlight. The primary treatment is radical surgical excision of the tumor. The aim of this study was the clinical and microscopical analysis of malignant eyelid tumors in treated patients, the presentation of selected reconstructive methods and the evaluation of long-term results of surgical treatment of eyelid tumors.
The study involved 92 patients treated in 2000-2007 for malignant tumors of the eyelids. All patients underwent surgical excision of the tumor with concurrent eyelid reconstruction. The choice of reconstructive method depended on the size and location of the tumor. Histopathological evaluation was carried out specifying the type of cancer and radical surgery. The long-term results were rated on the basis of medical records and patients' examinations.
Tumors were located mostly within the lower eyelid 67 (70.5%) and the medial canthus 17 (17.9%). Basal cell carcinoma was found in 83 (87.3%) cases, while in 12 (12.7%) diagnosed with other, less common cancers. Histopathological verification of tumor margins revealed incomplete excision in 14 specimens (14.7%). Reoperations due to recurrent tumor was performed in 11 (15.6%) cases. Good long-term results of functionally-aesthetic reconstruction of the eyelids was observed in 84 (91.3%) patients.
眼睑肿瘤占所有皮肤恶性肿瘤的5%至10%。它们主要影响长期暴露于阳光下的老年人。主要治疗方法是肿瘤的根治性手术切除。本研究的目的是对接受治疗的患者的恶性眼睑肿瘤进行临床和显微镜分析，介绍所选的重建方法，并评估眼睑肿瘤手术治疗的长期效果。
本研究纳入了2000年至2007年因眼睑恶性肿瘤接受治疗的92例患者。所有患者均接受了肿瘤的手术切除及同期眼睑重建。重建方法的选择取决于肿瘤的大小和位置。进行了组织病理学评估，明确癌症类型和根治性手术情况。根据病历和患者检查对长期效果进行评分。
肿瘤大多位于下眼睑67例（70.5%）和内眦17例（17.9%）。83例（87.3%）为基底细胞癌，12例（12.7%）诊断为其他较罕见的癌症。肿瘤边缘的组织病理学检查显示14个标本（14.7%）切除不完全。11例（15.6%）因肿瘤复发进行了再次手术。84例（91.3%）患者的眼睑功能-美学重建取得了良好的长期效果。
