CAJ | 학술논문

目的探讨眼睑黏液表皮样癌的临床和病理特点.方法回顾性分析8例眼睑黏液表皮样癌的临床病理特点,并随访其预后.结果眼睑黏液表皮样癌临床表现类似于基底细胞癌或鳞状细胞癌,表现为眼睑糜烂溃疡或结节状肿物.8例病理标本均由黏液细胞、表皮样细胞和基底样细胞组成.8例均行显微镜下组织学控制性切除术,第一次手术后复发3例,复发患者再次手术切除后全部治愈.经病理证实理想的手术切除线为肿瘤外6～9mm.结论眼睑黏液表皮样癌好发于老年患者,病理检查是其确诊手段.肿瘤侵袭性强,显微镜下组织学控制性切除术联合眼睑成形术是首选的治疗手段.
목적 탐토안검점액표피양암적림상화병리특점.방법 회고성분석8례안검점액표피양암적림상병리특점,병수방기예후.결과 안검점액표피양암림상표현유사우기저세포암혹린상세포암,표현위안검미란궤양혹결절상종물.8례병리표본균유점액세포、표피양세포화기저양세포조성.8례균행현미경하조직학공제성절제술,제일차수술후복발3례,복발환자재차수술절제후전부치유.경병리증실이상적수술절제선위종류외6～9mm.결론 안검점액표피양암호발우노년환자,병리검사시기학진수단.종류침습성강,현미경하조직학공제성절제술연합안검성형술시수선적치료수단.
Objective To study the clinical characteristics, treatment, prognosis and pathology for mucoepidermoid carcinoma of the eyelid. Methods Eight cases diagnosed as mucoepidermoid carcinoma of Results Mucoepidermoid carcinoma of the eyelid appeared similar to basal cell carcinoma or squamous cell carcinoma, clinically. Tumors developed as erosion or nodular masses. By histopathology, tumor cells showed an admixture of epidermoid cells, mucus-secreting cells and basal cells. Eight cases were treated with Mohs surgery. The recurrence rate was 37.5% for the first operation. The cure rate for recurrent patients after operation was 100%. The ideal cutting line was 6-9mm from the borderline of tumor, confirmed by pathology. Conclusions Mucoepidermoid carcinoma of the eyelid is more common in the elder people. It only could be diagnosed by pathology. It is aggressive. Mohs surgery and eyelid reconstruction are the main treatment.