睑板腺癌误诊原因分析

Analysis of Misdiagnosis Causes with Carcinoma of Meibomian Glands

目的 探讨睑板腺癌误诊原因 ,提高诊断率。方法 分析讨论 5 9例经病理证实的睑板腺癌临床及病理改变。结果 5 9例中有 7例曾被误诊为睑板腺囊肿 ,反复多次手术 ,4例被误诊为鳞状细胞癌 ,1例被误诊为基底细胞癌。导致误诊的原因 :1初诊医师对本病缺乏认识 ;2术后未经必要的病理检查。结论 凡 40岁以上的女性患者 ,行睑板腺囊肿术后应常规送病理检查 ,以免误诊漏诊。

Objective To promote the diagnosis rate,misdiagnostic of the cause carcinoma of meibomian glands were explored.Methods The clinical and pathological change on 59 cases of carcinoma of meibomian glands pathologically confirmed were analysed and discussed.Results Of 59 cases,7 cases had been mistaken for chalazion and were repeatedly operated,4 cases for squamous cell carcinoma,1 cases for basel cell carcinoma.The cause of misdiagnosis were that the initial doctor had a little understanding in the disease and that the needful and postoperative pathologic examination was not carried out.Conclusions The pathologic examination should usually be conducted after operation for over 40 years old women of chalazion.