Herwig M C, Löffler K U
Universitäts-Augenklinik Bonn.
Klin Monbl Augenheilkd. 2016 Jul;233(7):813-8. doi: 10.1055/s-0042-105567. Epub 2016 Jul 28.
Meibomian gland dysfunction/blepharitis is usually a harmless inflammatory process of the lid margin. However, it can be the first sign of a malignant lesion. Patients/Results: Clinical and histological findings are illustrated for 8 patients with changes in the lid margin and with the differential diagnosis of blepharitis.
Tumours of the lid margin can mimic blepharitis or induce meibomian gland dysfunction. Conversely, blepharitis can present in a nodular form, which is highly indicative of a neoplasm. In these cases, surgical excision with ophthalmopathological evaluation of the tissue is mandatory, in order to reach the correct diagnosis and to treat the patient appropriately.
睑板腺功能障碍/睑缘炎通常是一种无害的睑缘炎症过程。然而,它可能是恶性病变的首发症状。患者/结果:展示了8例睑缘改变及睑缘炎鉴别诊断的临床和组织学发现。
睑缘肿瘤可模仿睑缘炎或导致睑板腺功能障碍。相反,睑缘炎可呈结节状,这高度提示肿瘤。在这些情况下,必须进行手术切除并对组织进行眼科病理评估,以做出正确诊断并对患者进行适当治疗。