J Korean Ophthalmol Soc.  1997 May;38(5):703-709.

Classification and Therapeutic Effect of Benign and Malignant Eyelid Tumors

• Kim KH
• Chung WS

Abstract

The authors reviewed 73 cases of the eyelid tumors diagnosed histopathologically at Department of Ophthalmology, Yeungnam University Medical Center from March, 1984 to December, 1995. Twenty-three persons were men and fifty persons were women. The benign tumors were distributed evenly in all decades, but the malignant tumors were noted frequently in seventh and eighth decades. Histologically, benign tumors were 58 cases and malignant tumors were 15 cases. The frequency of benign eyelid tumors was noted in this order : nevus, cyst, squamous papilloma, hemangioma, seborrheic keratosis. Malignant eyelid tumors included 10 cases of basal cell carcinoma, 5 cases of meibomian gland carcinoma. The location of the benign tumors of the lids was noted in this order : the upper eyelid(30 cases), the lower eyelid(23 cases), the medial canthus(3 cases) and both eyelids(2 cases). In malignant tumors, the locations of basal cell carcinoma were the lower eyelid(6 cases), the medial canthus(3 cases) and the upper eyelid(1 case). Meibomian gland carcinoma was found in the upper eyelid(3 cases) and in the lower eyelid(2 cases). Excisional biopsy was performed in all of benign tumors(58 cases, 100%). For the treatment of the malignant tumors, simple excision(5 cases, 33%), excision and reconstruction(6 cases, 40%), excision and skin graf(3 cases, 20%) were performed. Exenteration and several courses of radiation therapy were carried out for a recurred meibomian gland carcinoma(1 case, 7%).

Keyword

Basal cell carcinoma; Benign eyelid tumor; Malignant eyelid tumor; Meibomian gland carcinoma

MeSH Terms

Academic Medical Centers
Biopsy
Carcinoma, Basal Cell
Classification*
Eyelids*
Female
Hemangioma
Humans
Keratosis, Seborrheic
Male
Meibomian Glands
Nevus
Ophthalmology
Papilloma
Skin