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眼睑和结膜的恶性肿瘤可与许多良性病变相似,只有通过活组织检查才能确诊。一般而言,眼睑的复发性麦粒肿、霰粒肿或慢性侵蚀性溃疡都应活检。对慢性单侧性角膜结膜炎或逐渐增长的色素性结膜病变,在组织学检查排除以前亦应考虑为恶性肿瘤。本文着重讨论眼睑与结膜恶性肿瘤的治疗。一、眼睑恶性肿瘤 (一)基底细胞癌:约10-15%的皮肤恶性肿瘤侵犯眼睑。基底细胞癌是眼睑最常见的肿瘤。最多见于下睑,其他依次为内眦、上睑和外眦。在确定治疗以前,应予表面活组织检查。手术与化学外科处理:用冰冻切片监视肿瘤边缘的标准外科处理,98%以上的病人不致复
Malignant tumors of the eyelids and conjunctiva may be similar to many benign lesions, which can only be confirmed by biopsy. In general, eyelid recurrent sties, chalazion or chronic erosion ulcers should be biopsy. Chronic unilateral keratoconjunctivitis or progressive pigmented conjunctival lesions should also be considered malignant before histological examination is excluded. This article focuses on the treatment of eyelids and conjunctival malignancies. First, the eyelid malignancy (A) of basal cell carcinoma: about 10-15% of skin cancer violations of the eyelids. Basal cell carcinoma is the most common eyelid tumor. Most seen in the lower eyelid, followed by the other internal eyelids, upper eyelids and nephew. Surface biopsies should be confirmed before treatment is established. Surgical and Chemosurgical Treatment: Standard surgical procedures to monitor tumor margins with frozen sections, over 98% of patients do not refract