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睑板腺癌早期生长慢,多无症状,易误诊为睑板腺囊肿,后期则易与基底细胞癌或鳞状细胞癌混淆。本文报告经病理切片确诊的睑板腺癌20例,并进行临床及病理分析如下。临床资料本组20例中男9例,女11例,均为农民。发病年龄37～79岁,平均62岁。病变在左眼上睑者6例,下睑者7例,右眼上睑者2例,下睑5例。发病至就诊最长7～8年,最短为1月,绝大多数在1年内。因发现肿块就诊者13例,占65%。肿块最小者0.5×0.5cm,最大直径4cm,多数在2×1.5cm左右。肿块质地均较硬。临床描述结节状4例,蚕食状1例,菜花状3例,分叶状2例;表面高低不平5例,粘膜糜烂2例,基底固定、与眶骨粘连、周围浸
The early growth of meibomian adenocarcinoma is asymptomatic, often misdiagnosed as a meibomian gland cyst, and later it is easily confused with basal cell carcinoma or squamous cell carcinoma. This article reports 20 cases of meibomian adenocarcinoma confirmed by pathological section, and performed clinical and pathological analysis as follows. Clinical data of this group of 20 cases of 9 males and 11 females were farmers. The age of onset is 37 to 79 years old, with an average age of 62 years. Lesions were found in 6 cases in the left eye, 7 in the lower jaw, 2 in the right eye, and 5 in the lower jaw. Onset to treatment for up to 7 to 8 years, the shortest in January, the vast majority in 1 year. Thirteen patients were diagnosed as having a mass, accounting for 65%. The smallest mass was 0.5 x 0.5 cm, with a maximum diameter of 4 cm, and the majority was about 2 x 1.5 cm. The lump texture is hard. Clinical description of nodular in 4 cases, entomosis in 1 case, cauliflower in 3 cases, lobular in 2 cases; surface unevenness in 5 cases, mucosal erosion in 2 cases, basal fixation, adhesion to sacrum, peripheral dip