Original Article

Primary Malignant Tumors of the Eyelids

10.4274/tjo.42.16056

  • Arzu Taskiran Çömez
  • Levent Akçay
  • Ömer Kamil Dogan

Received Date: 27.04.2012 Accepted Date: 30.07.2012 Turk J Ophthalmol 2012;42(6):412-417

Pur­po­se:

To evaluate the clinical and histopathological features of primary malignant tumors of the eyelids as well as the results of the surgical procedures performed.

Material and Method:

Fifty-one patients, who had lesions proven to be malignant by histopathological examination, were retrospectively evaluated for age, localization, clinical and histopathological diagnosis, surgical technique, perioperative and postoperative complications.

Results:

Of 51 patients, twenty three (45%) were male and 28 (55%) were female with a mean age of 62.5 (range: 35-80) years. The histopathological results of the excisional biopsy materials revealed basal cell carcinoma (BCC) in 38 (74.5%), squamous cell carcinoma (SCC) in 10 (19.6%), malignant melanoma (MM) in 1 (1.96%), sebaceous gland carcinoma (SGC) in 1 (1.96%), and non-Hodgkin lymphoma (NHL) in 1 (1.96%) patient. In 76.5% (n=39) of the eyelid malignancies, histopathological examination results were in concordance with the clinical diagnosis. In 9 (17.6%) cases, residual tumour cells were detected. The recurrence rate in all cases was 3.92%, while it was 2.63% for BCC and 10% for SCC.

Discussion:

BCC and SCC were the most common tumors in the eyelids. Surgical excision and histopathological evaluation are the best diagnostic and treatment procedure if a proper selection of the patients is done. (Turk J Ophthalmol 2012; 42: 412-7)

Keywords: Eyelid, tumor, malignant, carcinoma, lesion, histopathology, surgery, flap

Full Text (Turkish)