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病历摘要:刘××,男,44岁,山东人,农民,病理检查号:428。主诉右上睑红肿疼痛,已20余天,1963年1月10日发病,初觉右上睑皮肤发紧,轻微红肿,以指触摩上睑有一硬性肿物,但未加重视,肿物逐日增大,痛甚。同年2月6日来我院门诊。周身及血常规检查大致正常。康瓦氏反应(一)。眼部检查:视力正规,右上睑皮肤充血,肿胀,睑皮下可触及约成人拇指头大,不活动之硬性肿物,眼睑运动受限制,有压痛。疑为皮样囊肿,因行手术摘除。手术经过所见:在剥离皮下组织及肌层后见一乳白色大约1.5×1×1厘米不透明之硬性肿瘤,其表面光滑无血管走行。肿瘤下部与睑板紧连,分离睑板时因不慎肿瘤部分被割穿,瘤内粘稠状乳白色物溢出,肿瘤取出后伤口一周痊愈。
Medical record summary: Liu × ×, male, 44 years old, Shandong, farmer, pathology inspection number: 428. Chief complaint of the pain in the upper right eyelid swelling, has more than 20 days, January 10, 1963 onset, the beginning of the right upper eyelid tightness, slight redness, to touch the upper eyelid with a hard tumor, but did not pay attention to the daily increase in tumor Painful. February 6 the same year to our hospital. Whole body and blood tests generally normal. Cornish reaction (a). Eye examination: formal eyesight, right upper eyelid skin congestion, swelling, palpable around the lower eyelid of adult thumbs large, non-active hard tumor, eyelid movement is limited, tenderness. Suspected dermoid cysts, due to surgical excision. After the surgery seen: in the stripping of subcutaneous tissue and muscle layer after see a milky white about 1.5 × 1 × 1 cm opaque hard tumors, the smooth surface without vascular walking. The lower part of the tumor was closely connected with the tarsus. The tarsal part of the tarsus was cut off because of carelessness of the tumor when the tarsus was separated. The viscous milky white substance in the tumor overflowed and the wound recovered after the tumor was recovered in one week.