因反覆發作麥粒腫而發現的皮脂腺腫瘤－病例報告

Sebaceous Carcinoma of the Eyelid Masquerading as Recurrent Hordeolum: A Case Reprot

眼瞼皮脂腺腫瘤（sebaceous carcinoma）為一種來自meibomian腺體或Zeis腺體之罕見的惡性腫瘤，臨床上欲早期診斷是非常困難的，易被誤診為慢性結膜發炎或是霰粒腫，值得臨床醫師多加注意。本文報告一位50歲女性因為反覆發作的眼瞼發炎求診，多次於診所診斷為針眼而接受切開引流手術，但是仍然反覆發作。經轉往本院檢查後，病理切片報告發現為皮脂腺腫瘤，經後續安排腫瘤完全切除及Cutler-Beard眼皮重建手術後，於門診追蹤一年，迄今無覆發現象。本文亦探討皮脂腺腫瘤之特性與治療方式，及眼瞼重建的過程。

Sebaceous carcinoma of the eyelid is a rare malignant tumor that originates from the meibomian gland or Zeis gland. It is very difficult to diagnose in the early stage because it is frequently misdiagnosed as chalazion or chronic conjunctivitis. We report a 50-year-old female who suffered from recurrent upper eyelid inflammation and sought aid at a local hospital many times. She received incision and drainage surgery several times for being diagnosed as hordeolum. In spite of repeated treatment, the symptoms still recurred and she visited us for further examination. Excision biopsy was done and the pathology showed sebaceous carcinoma of eyelid. She received a complete and wide tumor excision and reconstruction of upper eyelid with Cutler-Beard procedure. There was no any recurrence during a follow-up of 12 months. In this report, we also review the nature of eyelid sebaceous carcinoma, method of treatment, and procedures of eyelid reconstruction.