此癌在临床上主要和下列三种病变相鉴别：
1.霰粒肿
⑴霰粒肿大多离睑缘较远，完全位于睑缘的霰粒肿比较少见。反之，癌期组织容易沿着睑板腺导管蔓延，故睑缘受累者多见。
⑵形态上这二者在早期阶段是十分相象的，不过在癌瘤，其病变表面的结膜往往比较粗糙，并且有时见到黄色的斑点。在霰粒肿病变处结膜一般呈青灰色或稍充血，表面一般是光滑的。
⑶霰粒肿切开时，里面可见含一种胶质样内容物，如有继发性感染和液化，就会有灰黄色液体从切口处溢出。在癌瘤则是质地硬而脆的黄白色肿瘤组织。霰粒肿自动穿破后，可形成息肉样肉芽组织，不象在癌瘤中所见到的那样表面粗糙的菜花样肿物。
⑷青年时期腺体机能分泌旺盛，容易发生霰粒肿。人到老年，腺体趋向萎缩，分泌功能减少，所以在老年人霰粒肿比较罕见。因此在老年人有反复发作的霰粒肿出现时，必须警惕睑板腺癌发生的可能性，最好将切出的病变组织进行切片检查，明确病变性质，以免误诊。
2.鳞状细胞癌：睑板腺癌在病理上和鳞状细胞癌十分相似，但在临床上这两者却有显著区别。
⑴睑板腺癌好发在上睑；鳞状细胞癌多发生在下睑。睑板腺癌位置较深，在睑板当中或在眼睑皮下深层，而鳞状细胞癌因为起于皮肤表皮，位置一般较浅。
⑵早期的睑板腺癌非常像霰粒肿，早期鳞状细胞癌在皮肤表面似痣或乳头状瘤。晚期的睑板腺癌的年龄比鳞癌还要大些。
⑶睑板腺癌女性患者比男性多，而鳞癌的患者则男性远多于女性。年龄都比较大，但睑板腺癌的年龄比鳞癌还要大些。
⑷两者都可以发生转移，但鳞状细胞型睑板腺癌的转移率60%）比鳞状细胞癌的转移率（10%）更高些。
3.基底细胞癌：睑板腺癌单纯根据病理，非常容易误诊为基底细胞癌，因此应当结合临床方面的表现进行鉴别。
⑴睑板腺癌病变位置较深，在皮肤和结膜之间，基底细胞癌一般多起源于皮肤表皮，病变位置较浅，病变部位多位于下睑近内眦处。
⑵早期的睑板腺癌似霰粒肿，晚期在皮下形成核桃状分叶的硬块，溃破后，有黄白色癌组织暴露，形似菜花状。基底细胞癌早期似痣，晚期则形成硬底潜行卷边的典型蚕食性溃疡。
⑶睑板腺癌患者女性比男性多；在基底细胞癌，则男女约略相近。
⑷基底细胞型睑板腺癌的转移率约为40%，而皮肤基底细胞癌则基本不发生转移。
睑板腺癌（meibomian gland carcinoma）是一种起源于皮脂腺的恶性肿瘤。发病率很高，眼睑恶性肿瘤的第二位。在性别方面，女多于男。在发病部位上，下睑多于上睑。它的恶性程度，根据分型不同而差异很大。恶性程度低的历时多年，缓慢增大，恶性程度高的则发展快，造成早期转移。故凡在40岁以上，而有反复发作的霰粒肿样病变时应引起重视。
早期很少有自觉症状，局部表现为皮下结节质硬，与皮肤不粘连颇似霰粒肿，有的误认为霰粒肿。手术切除术又复发,肿块继续增大，后可在结膜面上透见黄色结节，表面不平,继而形成溃疡，出现菜花样肿块.触之易出血，分化程度较低者通过淋巴管可以较早的向耳前淋巴结和颌下淋巴结转移。
交界痣为淡棕色或深棕色斑疹、丘疹或结节，一般较小，表面光滑、无毛，平坦或稍高于表皮。一般不出现自觉症状。突起于皮肤表面的交界痣容易受到洗脸、刮须、摩擦与损伤的此外，并由此可能发生恶性变症状：如局部轻微痒、灼热和疼痛；痣的体积迅速增大；色泽加深；表面出现感染、破溃、出血，或痣捉为皮肤出现卫星小点、放射黑线、黑色素环；以及痣所在部位的引流区淋巴结肿大等。恶性黑色素瘤多来自交界痣。一般认为，毛痣、雀斑样色素痣均为皮内痣或复合痣。这类痣极少恶变，如有恶变亦系来自交界痣部分。
","barId":"1764","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1246,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486636870239,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486636870236,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"6f08827db09911e6927f00163e04584d","isDel":0,"createAt":1479808372065,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海总剑客","password":"yiren2921","level":0,"nickName":"洞医客服微信2276635444","realName":null,"signName":"洞医网提醒您：请仔细阅读产品说明书或者在医务人员的指导下购买和使用，禁忌内容或者注意事项详见说明书","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"756954943@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"1182","isDel":0,"createAt":1486632480437,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"睑板腺癌症状是什么样子的","content":"睑板腺癌（meibomian gland carcinoma）是一种起源于皮脂腺的恶性肿瘤。发病率很高，眼睑恶性肿瘤的第二位。在性别方面，女多于男。在发病部位上，下睑多于上睑。它的恶性程度，根据分型不同而差异很大。恶性程度低的历时多年，缓慢增大，恶性程度高的则发展快，造成早期转移。故凡在40岁以上，而有反复发作的霰粒肿样病变时应引起重视。
\n早期很少有自觉症状，局部表现为皮下结节质硬，与皮肤不粘连颇似霰粒肿，有的误认为霰粒肿。手术切除术又复发,肿块继续增大，后可在结膜面上透见黄色结节，表面不平,继而形成溃疡，出现菜花样肿块.触之易出血，分化程度较低者通过淋巴管可以较早的向耳前淋巴结和颌下淋巴结转移。
\n","barId":"1764","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1069,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486632480438,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486632480437,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"6f08827db09911e6927f00163e04584d","isDel":0,"createAt":1479808372065,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海总剑客","password":"yiren2921","level":0,"nickName":"洞医客服微信2276635444","realName":null,"signName":"洞医网提醒您：请仔细阅读产品说明书或者在医务人员的指导下购买和使用，禁忌内容或者注意事项详见说明书","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"756954943@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4554","isDel":0,"createAt":1486632437612,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"哪些眼睑肿瘤是良性的，哪些又属恶性的呢？","content":"
什么是眼睑肿瘤呢，眼睑，也是俗称的眼皮。眼睑肿瘤是人体肿瘤疾病的一种，好发部位为眉部眼睑，尤其是内眦部，为皮脂腺或毛囊腺的潴留囊肿。大部分都是良性的，只有少数属恶性。
\n一、良性肿瘤
\n（一）眼睑血管瘤：血管组织先天性发育异常。
\n（二）色素痣：眼睑先天性扁平或隆起的病变，境界清楚，由痣细胞构成。可在幼年即有色素，或直到青春期或成人时才有色素。
\n（三）黄色瘤：常见于老年人。可发生于遗传性血脂过高、糖尿病和其他继发性血脂过高的患者，但多数患者的血脂正常。
\n二、恶性肿瘤
\n（一）基底细胞癌：我国最常见眼睑恶性肿瘤，多见于中老年人。好发于下睑近内眦部。初起时为小结节,表面可见小的毛细血管扩张。
\n（二）鳞状细胞癌：多发生于中老年人，好发于睑缘皮肤粘膜移行处。生长缓慢，患者无疼痛感。
\n（三）皮脂腺癌：占我国眼睑恶性肿瘤的第2位。多发于中老年妇女，好发于上睑。最常见起源于睑板腺和睫毛的皮脂腺。如起自睑板腺，初起时为眼睑皮下小结节，与睑板腺囊肿相似。
\n那么预后及预防方面该做好哪些工作呢？
\n良性瘤经治疗后，预后良好。恶性瘤则须早期发现，早期治疗，以免肿瘤扩散到眼窝或邻近的鼻腔，甚至转移到脑部及全身，危及生命。
\n保持眼睑卫生预防发炎，可以减少麦粒肿、肉芽肿等良性瘤的发生机会。户外活动时，戴太阳眼镜(防紫外线镜)减少阳光曝晒，可降低“基底细胞癌”之发生率。
\n若发现眼皮有肿块或眼皮某部位之颜色改变，或呈现溃烂的情形时，须找眼科医师检查。以便早期发现肿瘤，早期接受治疗。
\n不管什么疾病，早期治疗总是好的，而且生存率会大大地提高哦！
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