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病例摘要南××,男,30岁,农民,住我省某地农村。患者半年前发现右眼角膜缘鼻侧的结膜上一小的灰白色隆起。渐稍增大,表面粗糙,无痛苦,不影响视力。来诊前十天在某院切除,于1981年4月1日转来。双视力1.2,右眼鼻侧角膜缘内3mm 见-4×5mm~2手术区,暴露部分巩膜,表面尚光滑,周围结膜限局性充血。双角膜透明度好,前房清晰,瞳孔大小如常,光反应良好。眼底清晰可见,无异常。颌下及耳前淋巴结不肿大,胸部透视阴性。切除之组织经我院病理科检查诊断为结膜鳞状细胞癌。病理检查号81—0231根据上述情况我们采用噻替派点眼进行临床观察。
Case summary South × ×, male, 30 years old, peasant, live in rural areas in our province. Six months ago, the patient found a small grayish bulge on the conjunctiva of the nasal corneal margins. Gradually increased, rough surface, no pain, does not affect vision. Ten days before the visit in a hospital resection, in April 1, 1981 transfer. Double vision 1.2, the right eye nasal corneal margin 3mm see -4 × 5mm ~ 2 surgical area, part of the sclera exposed, the surface is still smooth, peripheral hyperemia local conjunctiva. Double corneal transparency, clear anterior chamber, pupil size as usual, good light response. Fundus clearly visible, no abnormalities. Submandibular and ear lymph nodes are not enlarged, chest X-ray negative. The resected tissue was diagnosed as conjunctival squamous cell carcinoma by pathology examination in our hospital. Pathological inspection No. 81-0231 According to the above situation, we use the thiotepa for clinical observation.