Eyelid Tumors in Southern Taiwan: A 5‐Year Survey from a Medical University

Abstract

This retrospective case analysis investigated the epidemiology of eyelid tumors in a subtropical area. The study assessed the proportion of all eyelid tumors that were malignancies, the accuracy of diagnosis, and surgical results. We retrospectively collected all cases of eyelid tumors in the Department of Ophthalmology, Kaohsiung Medical University, Taiwan, between January 1994 and December 1998. Among the 144 cases collected, about half of the tumors were located in the upper eyelids and the other half in the lower eyelids. Nearly 50% of cases underwent tumor resection with eyelid reconstruction. When followed up to April 1999, 97% of patients were satisfied with the surgical results. There were 18 cases (12.5%) of malignant tumors, including 14 basal cell carcinomas, three sebaceous carcinomas, and one squamous cell carcinoma. Before surgery, two malignancies were presumed to be benign tumors while another two were thought to be different malignant tumors. The benign tumors included 38 nevi, 15 squamous papillomas, 13 cysts, 11 verrucae, 10 seborrheic keratoses, four hemangiomas, and others. All tumors that were thought to be malignancies were treated using complete resection with margin monitoring by frozen section. At the end of follow-up, no recurrence was noted. More than 10% of cases of eyelid tumors in this subtropical teaching hospital were malignant. All surgeons should be alert to this phenomenon when they operate on an eyelid tumor. The best policy is to send all specimens for pathologic examination.

Eyelid Tumors: Clinical Data from an Eye Center in Ankara, Turkey

“…(Hilovsky, 1995;Chang et al, 2003;Takamura and Yamashita, 2005;Lin et al, 2006;Coroi et al, 2010) Male dominance was seen in basal cell carcinoma in accordance with previous findings (Frost et al, 1998). Basal cell carcinoma is most common in the lower eyelid, and medial canthal area in the ocular adnexal region (Margo and Waltz, 1993;Allali et al, 2005;Mannor et al, 2009).…”

Eyelid masses: A 10-year survey from a tertiary eye hospital in Tehran

“…Different studies have reported various frequencies of benign tumors some of which are similar to our series. For example, 3 separate studies from China, Southern Taiwan and South Korea the most frequent benign tumors were, in descending order, nevus, papilloma, and cyst 345. The most prevalent benign masses in the studies by Kersten et al 6.…”

İyi Huylu Gözkapağı Tümörlerinde Klinik ve Histopatolojik Tanı

“…Japonya, Tayvan ve Güney Kore'de yapılan çeşitli çalışmalarda nevüslerin papillom ve kistlere oranla daha sık görüldüğü belirtilmiştir. 6,8,17 İyi huylu gözkapağı tümörleri 50 yaş üzerinde daha sıktır. 3,5 Çalışmamızın sonucunda olguların yaş ortalamasının 53 yıl ve %65'inin 50 yaş üzerinde olduğu belirlenmiştir.…”

“…1,[5][6][7] Perioküler deri lezyonlarının çoğu iyi huylu olmasına rağmen malign tümörlerin hayatı tehdit edici potansiyelleri nedeniyle ayırıcı tanının yapılması büyük önem taşımaktadır. 5,8,11 Gözkapağı tümörlerine yaklaşımın belirlenmesinde iyi bir anamnez ve lezyonun klinik özellikleri dikkate alınmalıdır. [11][12][13] Gözkapağında görülen iyi huylu tümörlerin yavaş büyümesi ve sıklıkla asemptomatik olması nedeniyle birçok hasta hekime başvurmamakta, tanı konan olgularda eksizyon nadiren uygulanmakta ve histopatolojik inceleme birçok olguda yapılmamaktadır.…”