Sebaceous and Meibomian Carcinomas of the EyelidRecognition, Diagnosis, and Management
作者:
Jemshed Khan,
John Doane,
Arthur Grove,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1991)
卷期:
Volume 7,
issue 1
页码: 61-66
ISSN:0740-9303
年代: 1991
出版商: OVID
关键词: Sebaceous carcinoma;Meibomian gland carcinoma;Diuretic;Lacrimal system;Canaliculus;Lacrimal sac
数据来源: OVID
摘要:
Sebaceous carcinoma of the eyelid is frequently misdiagnosed clinically and histopathologically. The tumor may present as a lid mass, recurrent chalazion, or diffuse unilateral blepharoconjunctivitis. Fifty percent of cases are misdiagnosed, often by an inexperienced general pathologist interpreting the initial biopsy. Frozen-section monitoring of surgical margins has been reported unreliable in 25% of cases. Mohs surgery is also unreliable in cases where there is pagetoid intraepithelial spread or skip lesions. This tumor may spread regionally into the lacrimal secretory and excretory systems, to regional lymph nodes, and rarely disseminate hematogenously. Guidelines for management are discussed.
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