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患儿男,2岁。因左眼睑下结节2个月,快速生长半个月就诊。2个月前发现患儿左侧眼睑下丘疹,约米粒大,渐增大,近半个月来逐渐增大,哭闹时增大更加明显。曾疑诊为“皮脂腺囊肿”、“血管瘤”。既往体健,否认曾有外伤史。体格检查:一般情况可,系统检查未见异常,全身浅表淋巴结未触及肿大。皮肤科检查:左侧睑缘下方可见一圆形结节,高出皮面,整体呈紫蓝色,表面皮肤暗红色(图1A),约1.1 cm×0.9cm×0.7 cm,质地硬,边界较清楚,与表面皮肤粘连,可活动,表皮无破溃,无明显触压痛。局部B超检查示:左眶下实性略低回声团块,考虑炎性
Children male, 2 years old. Due to left lower eyelid nodules 2 months, rapid growth for half a month treatment. 2 months ago found the left lower eyelid in children with papules, about rice tablets, gradually increased, gradually increased over the past two months, crying increased more pronounced. Have been suspected as “sebaceous cyst ”, “hemangioma ”. Past physical health, denied a history of trauma. Physical examination: the general situation may be, no abnormalities in the system examination, systemic superficial lymph nodes did not touch the swollen. Dermatology examination: The left eyelid can be seen below a circular nodule, higher than the leather, the whole was purple-blue, dark red skin (Figure 1A), about 1.1 cm × 0.9cm × 0.7 cm, hard texture, the border Clearer, with the surface of the skin adhesion, activity, no ulceration of the epidermis, no obvious tenderness and tenderness. Local B-ultrasound showed: left infraorbital solid slightly lower echo mass, consider the inflammatory