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患者,女,54岁,住院号24125.曾于1984年3月不慎跌倒,左眼直接碰在木桩上而被刺伤,当时到医院就诊,从眼睑取出数根小木刺,经抗炎治疗后,左眼睑仍经常红肿不适,上睑穹窿部常长出绿豆大小的肉芽组织,切除后隔年又复长。1990年6月在当地医院复诊,发现左上眼眶深部可触及一肿物,取组织活检,报告为“左上睑低分化鳞癌”。患者于1990年7月1日转我院治疗。入院检查:视力右眼0.2,左眼0.1,左眼颞上方球结膜充血(+),于上睑深部与眼球之间可触及1小指头大小肿物,质硬,与周围组织无粘连,局部压痛轻,眼球各方向运动无障碍,屈光质透明。眼底双眼视乳头边界清,色正常,血管比例正常,黄斑部可见陈旧性渗
Patient, female, 54 years old, hospital number 24125. Had accidentally fell in March 1984, his left eye directly hit the stakes and was stabbed, then went to the hospital for treatment, remove a few sting from the eyelids, anti-inflammatory After treatment, the left eyelid is still often inflamed discomfort, the upper eyelid fornix often grow mung bean-sized granulation tissue, resection after the first year of growth. June 1990 in the local hospital referral and found that the upper left orbital can reach a deep tumor, biopsy, reported as “left upper eyelid poorly differentiated squamous cell carcinoma.” Patients in July 1, 1990 transfer to our hospital for treatment. Admission examination: visual acuity of 0.2 right eye, left eye 0.1, left conjunctival hyperemia (+) above the left eye, in the deep between the upper eyelid and the eye can reach a small finger mass tumor, hard, no adhesions with the surrounding tissue, local Tenderness light, eye movement in all directions accessible, refractive quality transparent. Fundus binocular papillae border clear, normal color, normal vascular ratio, macular visible old infiltration