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眼睑肿瘤鉴别诊断的临床体征

Clinical Signs for Differential Diagnosis of Eyelid Tumours.

作者信息

Kopecky Adam, Rokohl Alexander Christopher, Gaca Piotr Jakub, Matos Philomena A Wawer, Nemcansky Jan, Heindl Ludwig M

机构信息

Ophthalmology Clinic, University Hospital Ostrava, Ostrava, Czech Republic.

Department of Ophthalmology, University Hospital of Cologne, Cologne, Germany.

出版信息

Klin Monbl Augenheilkd. 2023 Jan;240(1):13-23. doi: 10.1055/a-1996-0950. Epub 2023 Jan 27.

Abstract

This article aims to present the differential diagnostics of benign and malignant eyelid tumours. The most common malignant eyelid tumour is basal cell carcinoma, followed by squamous cell carcinoma. The common signs of malignity are loss of lashes, ulceration, and infiltration of the lesion. Often the clinical appearance is various and therefore only a histological analysis gives the proper diagnosis. For most tumours, surgical resection is the gold standard of therapy. The reconstruction of the defects should be performed by an experienced oculoplastic surgeon. In malignant tumours that require large safety margins, the defect can be easily very large, and the reconstruction must then be performed with advanced ophthalmic plastic reconstruction techniques.

摘要

本文旨在介绍眼睑良性和恶性肿瘤的鉴别诊断。最常见的恶性眼睑肿瘤是基底细胞癌,其次是鳞状细胞癌。恶性的常见体征包括睫毛脱落、溃疡和病变浸润。通常临床表现多种多样,因此只有组织学分析才能给出正确诊断。对于大多数肿瘤,手术切除是治疗的金标准。缺损的修复应由经验丰富的眼整形外科医生进行。在需要较大安全切缘的恶性肿瘤中,缺损可能很容易变得非常大,此时必须采用先进的眼科整形修复技术进行修复。

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