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患者女性,54岁。因右上眼睑肿物5年余,于1990年11月11日入院。主诉5年前无明显诱因,偶尔发现右眼上睑中部有一小米粒大小结节,不痛不痒,未作任何治疗。近期肿物逐渐增大,反复溃烂,经久不愈。专科检查:视力左侧1.0,右侧0.6。右眼上睑正中部睑缘处见一隆起性肿物,约1.7cm×1.5cm×1.2cm大小,表面破溃,无压痛.睑结膜稍粗糙及轻度充血,晶状体轻度混浊。左眼睑未见异常。全身浅表淋巴结不肿大。临床诊断:鳞状细胞癌。于1990年11月15日行肿物切除术。术中见肿物位于右眼上睑中部,约1.7cm×1.5cm×1.2cm大小,与周围组织界限不清。病理检查:椭圆形肿物一个,1.5cm×1.5cm×1.2cm大小,表面灰白色,质硬,局部破溃,切面灰白色,包膜不明显。镜下肿瘤组织呈大小不等的
Female patient, 54 years old. He was admitted to the hospital on November 11, 1990 because he had a swollen mass in the upper right eye for more than five years. The chief complaint had no obvious cause 5 years ago. Occasionally, there was a small grain size nodule in the middle of the upper eyelid of the right eye, which was superficial and without any treatment. Recently, the tumor has gradually increased, repeatedly festered and prolonged. Specialist examination: 1.0 left visual acuity, right 0.6. An uplifted mass was seen in the orbital midline of the right eye, about 1.7cm x 1.5cm x 1.2cm in size, and the surface was ulcerated without tenderness. The conjunctiva was slightly rough and mildly congested, and the lens was slightly cloudy. There was no abnormal left eyelid. Superficial lymph nodes are not swollen. Clinical diagnosis: squamous cell carcinoma. He underwent tumor resection on November 15, 1990. During the operation, the tumor was located in the middle of the upper eyelid of the right eye and was about 1.7cm×1.5cm×1.2cm in size, which was unclear to the surrounding tissue. Pathological examination: One oval tumor, 1.5cm × 1.5cm × 1.2cm size, gray surface, hard, local ulceration, gray cut surface, the envelope is not obvious. Microscopically, tumor tissues are of different size