当科におけるマイボーム腺癌の臨床的検討

概要

論文の詳細を見る
Meibomian gland carcinoma is apparently one of the most malignant tumor of the eyelid. If it is not radically excised, recurrence is likely to occur.In the present survey on the patient records in our hospital, we have encountered six patients with this tumor in the past 10-year period (1985-1995). Four of them were recurrent cases, and two were first-diagnosed cases in our department. For four patients, operations were undertaken with a surgical margin ranged between 5 and 10mm, and one case ultimately required exenteration because of its recurrence. We excised tumors as a rule with a safety margin of 5mm of normal-appearing tissue surrounding the primary lesion of the tumor. Taken together the present study and literature, it may be recommended to advocate a wide excision for the recurrent lesions at the lid margin or along the free border of tarsus that measures 1cm or more.
日本皮膚悪性腫瘍学会の論文