過去10年間の眼瞼腫瘍31例

Thirty-one cases of eyelid tumor during the past ten years

（18-P2-13）　1997年までの10年間に病理学的に診断が確定した眼瞼腫瘍31例を検討した。悪性腫瘍19例，良性腫瘍12例で，脂腺癌9例が最も多かった。平均年齢は全症例で56.4歳であり，悪性腫瘍群では69.7歳，良性腫瘍群では35.4歳であった。治療は腫瘍全摘出を原則とし，眼瞼形成術を併用した。脂腺癌9例のうち6例に再発があった。全例に再手術を行い，4例では放射線療法を併用し，すべてに治癒が得られた。扁平上皮癌と基底細胞癌では，初回の腫瘍切除で治癒した。

We reviewed 31 cases of malignant tumor of the eyelid during the 10 years through 1997. The diagnosis was confirmed histopathologically in all the cases. The series comprised 19 cases of malignant and 12 of benign tumor. Sebaceous gland carcinoma (9 cases) was the most frequent. The ages averaged 56.4 years in the whole series, 69.7 years in malignant cases and 35.4 years in benign cases. All the cases were treated by total extirpation of the tumor and blepharoplasty. The tumor recurred in 6 out of 9 cases with sebaceous gland carcinoma. Eventual cure was obtained in these 6 cases by another surgery and additional radiation in 4 cases. Initial surgery led to cure in all cases of squamous or basal cell carcinoma.