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王某,男,七月,住院号102413,因左上睑肿物2个月,多次术后复发3个月,于1982,4,20二次入院。患儿出生后3个月,其母发现在左上睑生一肿物,逐渐长大,两月后如黄豆大小,于1982,2,8,当地医院按霰粒肿手术刮除,病理报告为“左上睑慢性炎症”。术后11天伤口不愈,肿物又起,于1982,2,19,以“左上睑肿物性质待查”收住我院。2月24日行肿物切除术,病理报告为“左上睑组织细胞增生症”继发感染。术后10天伤口愈合尚好而出院。出院后数天,肿物再次长出,于4月20日二次入院。全身检查未见异常。眼部检查:左上睑外侧近睑缘处绿豆大两个肿物(图1),硬如软骨,压痛不明显,与睑板粘着无移动,表面有黄灰色分泌物,相应处结膜显著隆起,略欠平滑,无溃疡及明显炎症。结膜囊有较多量淡黄色分泌物。其它眼部检查无显著改变。两次做局部分泌物涂片和培养,有大量葡萄球菌,未见结核杆菌。肿物组织活检切片抗酸染色阴性,病理诊断为纤维组织细胞瘤,于
Wang, male, July, hospital number 102413, due to the left upper eyelid tumor for 2 months, many recurrences 3 months after the second admission in 1982,4,20. Children 3 months after birth, the mother found a tumor in the left upper eyelid, grew up, two months later, such as the size of soybeans, in 1982,2,8, the local hospital according to chalazion surgery curettage, pathology reported as “ Left upper eyelid chronic inflammation. ” 11 days after the wound healing, the tumor again, in 1982,2,19, “left upper eyelid tumor properties to be checked,” admitted to our hospital. February 24th line excision, pathology report as “left upper eyelid histiocytosis” secondary infection. Ten days after the wound healing was good and discharged. A few days after discharge, the tumor grew again and was admitted twice on April 20. No abnormalities in the whole body examination. Eye examination: the left upper eyelid near the outer edge of the mound two large tumors (Figure 1), hard as cartilage, tenderness was not obvious, no movement with the tarsal adhesion, the surface of the yellow-gray secretions, the corresponding prominent prominent bulbar conjunctiva, Slightly smooth, no ulcers and obvious inflammation. Conjunctival sac has a greater amount of light yellow secretions. Other eye exams did not change significantly. Do two local secretions smear and culture, a large number of staphylococcus, no Mycobacterium tuberculosis. Tissue biopsy negative acid-fast staining, pathological diagnosis of fibrous histiocytoma, in