Liszauer A D, Brownstein S, Codère F
Department of Ophthalmology, McGill University, Royal Victoria Hospital, Montreal, PQ.
Can J Ophthalmol. 1988 Feb;23(1):17-21.
A firm, slow-growing cystic mass of the left upper eyelid developed in a 73-year-old man 5 years after a clinically diagnosed "sebaceous cyst" at the same site had been incised and drained. Histopathological examination disclosed a primary mucinous adenocarcinoma of eccrine sweat gland origin. The patient had no recurrence after 3.5 years of follow-up. Histochemical demonstration of sialomucin differentiates mucinous sweat gland carcinoma from other mucus-secreting adenocarcinomas, such as those arising from lacrimal gland tissue. Enzymatic histochemical analyses or ultrastructural studies are needed to distinguish between mucinous adenocarcinomas of eccrine origin and those of apocrine origin.
一名73岁男性，5年前在同一部位临床诊断为“皮脂腺囊肿”并切开引流后，左上眼睑出现一个坚实、生长缓慢的囊性肿物。组织病理学检查显示为原发性小汗腺来源的黏液腺癌。随访3.5年后患者无复发。涎黏蛋白的组织化学证明可将黏液性汗腺癌与其他分泌黏液的腺癌区分开来，比如那些起源于泪腺组织的腺癌。需要进行酶组织化学分析或超微结构研究来区分小汗腺来源的黏液腺癌和大汗腺来源的黏液腺癌。
