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首页> 外文期刊>Ophthalmologica: International Journal of Ophthalmology=Journal International d'Ophtalmologie >Orbital spread of conjunctival squamous cell carcinoma following evisceration: a reminder of the importance of thorough evaluation before and after destructive surgery.
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Orbital spread of conjunctival squamous cell carcinoma following evisceration: a reminder of the importance of thorough evaluation before and after destructive surgery.

机译：内脏切除后结膜鳞状细胞癌的眼眶扩散：提醒人们在破坏性手术前后进行彻底评估的重要性。

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摘要

Evisceration is a neglected surgery usually performed by the most junior ophthalmologists in unsalvageable eyes with panophthalmitis. It is universal knowledge that evisceration is contraindicated in eyes with intraocular malignancy. We report 2 patients who presented to us with squamous cell carcinoma (SCC) in eviscerated sockets. While one of them was diagnosed with SCC on histopathological examination of the eviscerated contents, the other had history suggestive of conjunctival SCC prior to evisceration. The second patient presented to us with complaints of poorly fitting prostheses. We conclude that it is imperative to rule out not just intraocular but also adnexal malignancy prior to evisceration, and these eyes should be regularly followed up and carefully examined if poor fitting of the prostheses develops.
机译：内脏切除术是大多数初级眼科医师通常在无法挽救的全眼炎患者眼中进行的一项被忽视的手术。众所周知，眼内恶性肿瘤的眼睛禁止使用内脏除皱术。我们报告了2例在内脏窝出现鳞状细胞癌（SCC）的患者。虽然其中一个在对内脏物的组织病理学检查中被诊断出患有SCC，但另一个在脱内脏之前有结膜SCC的病史。第二位患者向我们提出了假体装配不当的投诉。我们得出的结论是，除内脏之前，不仅要排除眼内疾病，还要排除附件恶性肿瘤，并且必须定期随访并仔细检查这些眼睛，以防假体的不合适。

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