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患者穆××男63岁住院号28316 于1988年4月,在右眼上睑皮下发现一豆粒大肿物,迅速增大,眼睑上举受限,1个月来诊。于1年前,在当地医院拍胸部X 片,见右肺门肿块影,进行癌细胞学检查及纤维支气管镜检查,未见瘤细胞。患病后无眼痛、复视及视力下降,无胸痛、呼吸困难及其它不适,未经何治疗。查右眼视力0.8,左眼1.0。右眼上睑下垂,眼睑呈半球形隆起,皮色及弹性正常。于皮下可触及3.3×2.5×2.0cm 的表面光滑与睑板固定的实质性肿物。其边缘达眶缘。睑缘及睫毛正常。睑结膜呈紫篮色,略肥厚。睑裂开大及翻转眼睑均受限。角
Patient Mu × × Male, 63 years old, hospital number, 28316 In April 1988, a large bean mass was found under the skin of the right eye, rapidly enlarged, and the eyelids were restricted from lifting, and came to the hospital one month later. One year ago, a chest X-piece was taken at a local hospital. He had a picture of a right hilar mass, and he had undergone cancer and fiberoptic bronchoscopy. He had no tumor cells. There was no eye pain, diplopia and vision loss after the illness, no chest pain, dyspnea, and other discomfort. No treatment was given. Check the visual acuity 0.8 in the right eye and 1.0 in the left eye. In the right eye, the upper eyelid droops, the eyelid is hemispherically bulging, and the skin color and elasticity are normal. Subcutaneously palpable 3.3 x 2.5 x 2.0 cm smooth and palatal fixed solid mass. Its edge reaches the edge. Eyelids and lashes are normal. The palpebral conjunctiva has a purple basket and slightly hypertrophy. Cracking and opening eyes are limited. angle