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眼睑黄色瘤是一种类脂质代谢障碍疾病,多见于眼睑皮肤,在皮下组织发生结节型黄色瘤比较少见,本文报告1例如下。患者高××女62岁教员1980年双上睑内眦部皮肤出现界限清楚的黄色扁平斑,眼睑随之逐渐隆起,有下坠感。82年在外院做眼睑肿物部分切除,病理诊断为黄色瘤。术后半年,肿物生长较快,双上睑呈弥漫性结节状隆起,致上睑上提困难。85年来我院治疗。既往史:患糖尿病5年。家族成员无同类疾病发生。双上睑皮下呈弥漫性结节状隆起,长30mm,宽20mm,高约0.8mm,质软,不活动、无压痛。视力右1.2,左1.2。眼前节及眼底均正常。心肝脾肺肾均正常。血糖138单位,尿糖++,甘油三酯275mg%总胆固醇326mg%。85年9月11
Eyelid xanthomas is a lipid metabolism disorders, more common in the eyelid skin, nodular xanthoma occurs subcutaneous tissue is relatively rare, this article reports 1 case as follows. Patients with high × × female 62-year-old teacher in 1980 double the upper eyelid Department of the Ministry of the skin appear clearly defined yellow flat spot, eyelid then gradually uplift, there is a sense of falling. 82 years in the outer court to do eyelid tumor resection, the pathological diagnosis of yellow tumor. Six months after surgery, the tumor grew rapidly, double eyelid was diffuse nodular bulge, resulting in difficult to lift the eyelid. 85 years in our hospital treatment. Past history: Diabetes 5 years. Family members no similar diseases. Double eyelid was diffuse nodular bulge, length 30mm, width 20mm, height of about 0.8mm, soft, inactive, no tenderness. Right eye 1.2, left 1.2. Anterior segment and fundus are normal. Liver, lung, spleen and kidney are normal. 138 units of blood sugar, urine sugar ++, triglyceride 275 mg% total cholesterol 326 mg%. September, 85