Fanta H
Klin Monbl Augenheilkd. 1979 Mar;174(3):411-20.
After a classification in benign and malignant tumours and in pigmented and non-pigmented growth, attention is drawn to the fact that most of the tumours lie in the palpebral fissure and are benign. Leukoplakia is a clinical description but not a diagnosis. Both the benign and the malignant growths can be called Leukoplakia. The intra-epithelial epithelioma is often incorrectly diagnosed as Bowen's disease. This disease of the skin and the intraepithelial epithelioma of the limbus are histologically quite different, and therefore the term Bowen's disease is incorrect. Not all the various tumours occur with the same incidence, e. g. the squamous cell carcinoma occurs more often in some countries than in others. The malignant melanomas of the conjunctiva are not so malignant as in the caruncle or cornea. In the conjunctiva secundary melanomas can occur after penetration of an intraocular melanoma through the sclera; similary metastases can occur in the form of epibulbar tumours. In all cases the epibulbar tumour should be excised very carefully and a histological examination is necessary for the diagnosis.
在对良性和恶性肿瘤以及色素沉着和无色素沉着的肿物进行分类后，需注意的是，大多数肿物位于睑裂，且为良性。白斑是一种临床描述而非诊断。良性和恶性肿物均可称为白斑。上皮内上皮瘤常被误诊为鲍温病。这种皮肤疾病与角膜缘上皮内上皮瘤在组织学上有很大差异，因此使用鲍温病这一术语并不准确。并非所有不同类型的肿瘤发病率都相同，例如，鳞状细胞癌在某些国家的发病率高于其他国家。结膜恶性黑色素瘤的恶性程度不如泪阜或角膜处的高。在结膜处，眼内黑色素瘤穿透巩膜后可发生继发性黑色素瘤；同样，转移瘤可表现为眼球表面肿物的形式。在所有情况下，都应非常小心地切除眼球表面肿物，且诊断必须进行组织学检查。
