眼瞼基底細胞癌－1例報告

Basal Cell Carcinoma of the Eye-Lid One Case Report

顧進榮(Jinn-Rung Guh) ； 黃梅芳(Mei-Fang Huang)

《中華民國眼科醫學會會刊》 23卷 (1984/05) Pp. 337-343

https://doi.org/10.30048/ACTASOS.198405.0057

摘要

報告一左眼下眼瞼內三分之一基底細胞癌病例，（含瞼緣及眼瞼全層厚度）經外科切除，眼瞼整型，繼之以冷凍療法，至今並無再發或轉移，病人外觀良好，亦無溢淚合併症。

並列摘要

One case of basal cell carcinoma of the inner one third of the lower eye-lid (OS) is presented. The tumor (6×5×4 mm) invaded lid margin and full thickness of the eve-lid. If the tumor were to be excised by frozen section control, then the canaliculus and the punctum should have been excised with consequent epiphora. Therefore, the actual operation involved excision of the carcinoma to its 2 mm surrounding, lid-reconstruction and cryotherapy of the lower eye-lid. Up to the present time, (8 months after the operation) no recurrence/metastasis is noted. The cosmetic appearance is satisfactory. And no epiphora has occurred.
The frozen section control technique stresses the advantage of no recurrence, hence extensive excision is unavoidable. And the lacrimal passage integrity and cosmetic problem are less threatened. According to the author's opinion, no recurrence of course is the highest priority, but the integrity of the lacrimal passage system and the post-operative cosmetic appearance should also be considered.

並列關鍵字

basal cell carcinoma ； excision reconstruction and cryotherapy ； recurrence ； cosmetic appearance and epiphora