Harvey J T, Anderson R L
Ophthalmic Surg. 1982 Jan;13(1):56-61.
We present nine cases of sebaceous adenocarcinoma seen on the Oculoplastic Service at the University of Iowa over the past five years. It is essential to make the biopsy-proven diagnosis of meibomian gland adenocarcinoma promptly, using multiple full thickness eyelid biopsies. We recommend the Mohs' fresh-frozen technique in patients with surgically resectable lesions, exenteration in those with orbital extension, and radical neck dissection for cases with nodal involvement. Radiotherapy may be indicated in patients with extensive tumors who cannot tolerate or refuse surgery or as an adjunct to surgery in others.
我们呈现了过去五年间在爱荷华大学眼整形科所见到的9例皮脂腺癌病例。必须通过多次全层眼睑活检迅速做出经活检证实的睑板腺癌诊断。对于可手术切除病变的患者，我们推荐莫氏新鲜冷冻技术；对于有眼眶侵犯的患者，推荐行眼球摘除术；对于有淋巴结受累的病例，推荐行根治性颈部清扫术。对于无法耐受或拒绝手术的广泛肿瘤患者，或作为其他患者手术的辅助治疗，可考虑放疗。
