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患者女,81岁,于2001年11月始左眼内上方发现一包块,无压痛及红痛,无畏光、流泪,无视力下降,未予以重视。约半年后,左侧内眦部逐渐隆起,左眼裂小,不伴红痛及眼胀痛,视力无明显下降。于2002年5月28日就诊,诊为左泪囊部肿瘤收入院。个人史及家族史无特殊。过去史:三年前曾在当地医院作“左眼泪囊包块切除”,未作病理检查。体检:全身未见异常,左眼眶CT示:左眼眶内眦、眼球外占位性病变,眼部检查:双眼视力:0.6,左睑裂小,上睑运动受限,左内眦上方局部隆起,皮肤无红肿及破渍,可扪及一椭圆形鸽蛋大小包块,质中,无压痛,表面光滑,左泪道冲洗不通,结膜轻度充血,眼球各方向运动受限,晶状体混浊,可见虹膜阴影,眼底无特
The female patient, aged 81, found a mass at the top of the left eye in November 2001 without tenderness, red pain, fearlessness, tears, loss of sight and no attention. About six months later, the Ministry of the left eyelid gradually bulging, left eye cracked small, not accompanied by red pain and eye pain, visual acuity was no significant decline. On May 28, 2002 for treatment, diagnosed as the left lacrimal sac tumor hospital. Personal history and family history is no special. Past history: Three years ago in a local hospital for “left eye lacrimal sac resection”, no pathological examination. Physical examination: No abnormality in the whole body. Left orbital CT showed: left orbital wall, extraocular lesions, eye examination: binocular visual acuity: 0.6, left palpebral fissure is small, upper eyelid movement is limited, , No swelling and breakage of the skin, palpable and an oval pigeon egg size mass, quality, no tenderness, smooth surface, left lacrimal irrigation unreasonable, conjunctival hyperemia, limited movement of the eye in all directions, lens opacity, Visible iris shadow, no special fundus