Eyelid Reconstruction Following Excision of Cutaneous Malignancy

Zollino, Ilaria; Riberti, C; Candiani, Marco; Candotto, V

doi:10.1097/scs.0b013e3182a2ed04

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…Various reconstruction methods were performed after the lesion of the eyelid angiosarcoma was surgically removed [ 3 ]. The primary goals of eyelid reconstruction are to protect adequate eyelid function and to achieve acceptable aesthetic appearance [ 14 , 15 ]. The reconstructive plan will be determined mainly by the defect size, location, and the elasticity of the surrounding tissues, which in turn depend on the patient’s age [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…The reconstructive plan will be determined mainly by the defect size, location, and the elasticity of the surrounding tissues, which in turn depend on the patient’s age [ 15 ]. The vertical, horizontal, and depth dimensions of the eyelid defect must be determined for defect size evaluation [ 14 ]. The close attention should be paid to the integrity of the lacrimal apparatus if the defect involves the medial canthal region [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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Chalazion-mimicked eyelid angiosarcoma in a young Asian with good prognosis: a case report

Hwang,

Kim,

Paik

et al. 2024

BMC Ophthalmol

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Background Angiosarcoma is an extremely rare malignant tumor. So far, only about 42 cases of angiosarcoma involving the eyelids have been reported. Eyelid angiosarcoma occurs more frequently in elderly Caucasian males and is prone to misdiagnosis. We present a case report in a young Asian male patient with eyelid angiosarcoma that was misdiagnosed as a chalazion. Case presentation A 46-year-old South Korean male with no underlying disease had a right lower lid mass. The lesion was initially misdiagnosed as a chalazion at a local clinic, but a diagnosis of eyelid angiosarcoma was made after the first biopsy trial. PET-CT was performed to ensure that there was no metastasis in the whole body. Surgical excision with enough surgical margin was used alone for treatment and reconstruction was performed with a tarsoconjunctival advancement flap (modified Hughes procedure), which helped ensure good cosmesis. No recurrence was observed 4 years and 5 months after the surgery. Conclusions The current study presents the first case of chalazion-mimicked eyelid angiosarcoma in a young Asian male aged under 50 years. This case shows that even if a benign eyelid disease is suspected in a young patient, an incisional biopsy must be performed to confirm whether the lesion is malignant. Since the prognosis is good for the case of eyelid angiosarcoma, if there is no clear evidence of distal metastasis, surgical resection should be performed with an enough safety margin.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Chalazion-mimicked eyelid angiosarcoma in a young Asian with good prognosis: a case report

Hwang,

Kim,

Paik

et al. 2024

BMC Ophthalmol

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Periorbital reconstructive techniques following Mohs micrographic surgery or excisions: a systematic review

et al. 2023

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Head and neck melanoma: the eyelid region has a better prognosis and easier management: a retrospective survey and systematic review

Dini,

Susini,

Zuccaro

et al. 2024

Melanoma Research

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Eyelid melanoma (EM) is a malignant neoplasm accounting for around 1% of eyelid malignancies. Because of its rarity, most of our knowledge of EM is currently based on studies of cutaneous melanomas located elsewhere. Accordingly, this study aimed to specifically evaluate EM characteristics, management strategies, and prognosis. A retrospective study was carried out on patients diagnosed with EM at Careggi University Hospital, Florence between May 2012 and May 2022. In addition, a systematic review of relevant literature was conducted, encompassing studies published from 2013 to 2023. Clinical, histopathological, therapeutical, and prognostic data were analyzed to assess the metastasis rate and the 5-year survival rate of patients with EM. Separate data were extracted for in situ and invasive disease. Our original study included 19 patients diagnosed with EM with a 5-year survival rate of 100% for in situ and 83.3% for invasive EM. The literature review identified five poorly detailed large database reviews and 14 original studies on EM with an overall 5-year survival rate of 79.7%. The present research indicates that EM is a challenging malignancy, but has a relatively better prognosis and easier management than other melanomas of the head and neck region. These are probably related to the anatomical location which leads to early diagnosis. Therefore, EM should be considered as a specific disease requiring dedicated treatment. Based on the personal authors’ experience and comprehensive overview of the current knowledge, a dedicated protocol is proposed.

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Eyelid Reconstruction Following Excision of Cutaneous Malignancy

Cited by 4 publications

References 22 publications

Chalazion-mimicked eyelid angiosarcoma in a young Asian with good prognosis: a case report

Chalazion-mimicked eyelid angiosarcoma in a young Asian with good prognosis: a case report

Periorbital reconstructive techniques following Mohs micrographic surgery or excisions: a systematic review

Head and neck melanoma: the eyelid region has a better prognosis and easier management: a retrospective survey and systematic review

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