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104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft 2006
Abstract
Abstract
SA.08.05 One rare eyelid tumour case Elle J. S.1, Müller-Holz M. F.1, Kohlhaas M.2, Matthé E.1, Pillunat L. E.1
1Augenklinik, Universitätsklinikum Dresden; 2St.-Johannes-Hospital, Dortmund Objective: A wide range of benign and malignant tumours can affect the lids, arising from the skin, the hair follicles, the specialized glandular structures or the deeper tissues of the lids. The majority of the eyelid tumours (papillomas, naevi, solar keratosis, keratoacanthoma) are benign. Rarely, one can find metastases, Merkel’s cell carcinoma, as well as the adenocarcinoma of the sweat glands or the lachrymal sac with a rate of 2%. Here we want to introduce a female patient with a rare malign eyelid tumor.
Methods: An 80-year-old woman had noticed a tumor of the upper eyelid angle which was there for about 18 months. Macroscopicly an around 2x4 cm, reddish-livid, minimally moveable and not painful tumor was located close to the Saccus lacrimalis. The eyelid position and closure were not affected and the ductus lacrimalis was not involved. Except of a cataract other ophthalmological results were unapparent. Since the tumor had gained in size rapidly within the last two months, we decided to excise it. The defect cover was carried out by means of moving rags under saving of the tear passages.
Results: The histological results showed a slightly mucos producing adenocarcinoma with an accompanying lymphangiosis carcinomatosa. Further investigations did not yield any reference to the existence of a primary tumor. We therefore consider it to be most likely a primary adenocarcinoma of the sweat glands.
Conclusions: To prove that the adenocarcinoma is not a metastasis of the most common primary tumors of the mamma, of the lungs or the colon an interdisciplinary approach is necessary. Life-long follow-up is essential in order to recognize possible relapses and metastatic invasion and to give therapy immediately.
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