Domarus D V, Hinzpeter E N, Naumann G O
Klin Monbl Augenheilkd. 1976 Feb;168(02):175-81.
Between 1966 and 1974, 1260 lidtumours were sent to the histological laboratory of the University Eye Hospital Hamburg. The clinical diagnosis "chalazion" in 138 cases could not be verified histologically in 33 cases. Other benign lesions were diagnosed 23 times and malignant lesions in 10 cases (4 times a Meibom's sebaceous cell carcinoma). The symptoms of all 7 Meibom's sebaceous cell carcinomatas diagnosed histologically during this time (the most common metastasizing lid-tumor in this series) were also analysed as they present the gravest diagnostic error for chalazia. Histologic examination of excised "chalazion"-material must be considered mandatory in all patients with a typical symptomatology, recurrence at the same site, high age, unilateral therapy-resistant keratoconjunctivities and involved regional lymphnodes.
1966年至1974年间，1260例眼睑肿瘤被送往汉堡大学眼科医院组织学实验室。138例临床诊断为“睑板腺囊肿”的病例中，有33例经组织学检查未能得到证实。其他良性病变被诊断出23次，恶性病变10例（其中4例为睑板皮脂腺癌）。对这段时间内经组织学诊断的所有7例睑板皮脂腺癌（本系列中最常见的转移性眼睑肿瘤）的症状进行了分析，因为它们是睑板腺囊肿最严重的诊断错误。对于所有具有典型症状、同一部位复发、高龄、单侧治疗抵抗性角膜结膜炎以及区域淋巴结受累的患者，切除的“睑板腺囊肿”材料的组织学检查必须被视为强制性的。
