眼睑恶性肿瘤诊疗中应关注的几个问题

眼睑恶性肿瘤发病率较高,临床表现复杂多样,术前难以确诊,针刺活检有助于判断眼睑恶性肿瘤类型,指导手术选择.手术切除是治疗眼睑肿瘤的首要方法,但对手术方法选择和切缘控制等仍存在不同看法.快速病理控制切缘的手术方法(Mobs法)能保证在完整清除肿瘤的前提下,掌握组织的最佳切除量.术中眼组织缺损即期修复是眼睑恶性肿瘤治疗的重要环节,手术医生需具备良好的眼整形外科技术,根据缺损的范围、部位和层次等灵活选用合理的修复方法,才能取得肿瘤根治和眼睑功能重建并举的效果.术后应长期随访,及时发现肿瘤复发情况并积极处理,可明显降低患者的转移率和致死率.

Highlights in diagnosis and surgical treatment of eyelid malignant tumors

Eyelid malignant tumor has relatively high incidence with complex manifestations, easily leading to misdiaguose. Fine-needle aspiration biopsy (FNAB) should be recommended when indicated, consideiing its validity in determining the type of eyelid tumor pathologically and its contribution to guide surgical treatment. Surgery is the most preferred method in dealing with eyelid malig- nancy. However, no consensus with regard to surgical options and margins of exeresis has been reached so far. Mohs mierographie...