Basal cell and squamous cell carcinomas.

G J Selvin
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Abstract

Basal cell and squamous cell carcinomas are actinic lesions that must be considered in the differential diagnosis of growths of the eyelid. Basal cell carcinoma is the most common eyelid cancer. It tends to grow slowly, and rarely if ever metastasizes. Basal cell carcinoma can, however, grow by direct extension to adjacent structures including the brain. Basal cell carcinoma can be managed by Moh's surgery, excision, cryosurgery, radiation, and chemotherapy. Squamous cell carcinoma has similar epidemiology to basal cell carcinoma. However, it grows much faster and it can metastasize (up to 20% of the time). It is best managed by conventional surgery, cryosurgery, and sometimes radiation. Squamous cell carcinoma can have a grim prognosis if not detected and treated promptly.

基底细胞癌和鳞状细胞癌。
基底细胞癌和鳞状细胞癌是在眼睑生长的鉴别诊断中必须考虑的光化病变。基底细胞癌是最常见的眼睑癌。它往往生长缓慢,很少转移。然而,基底细胞癌可以通过直接扩展到邻近结构(包括大脑)而生长。基底细胞癌可以通过Moh手术、切除、冷冻手术、放疗和化疗来治疗。鳞状细胞癌与基底细胞癌具有相似的流行病学。然而,它生长得更快,并且可以转移(高达20%的时间)。最好的治疗方法是常规手术、冷冻手术,有时还有放疗。如果不及时发现和治疗,鳞状细胞癌可能有一个严峻的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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