J Korean Ophthalmol Soc.  2016 Feb;57(2):174-180. 10.3341/jkos.2016.57.2.174.

Clinical Characteristics of Benign Eyelid Tumors

• Jang SM
• Lee H
• Baek SH

• KMID: 2213655
• DOI: http://doi.org/10.3341/jkos.2016.57.2.174

Abstract

PURPOSE
To report the relative frequency and clinical characteristics of patients with benign eyelid tumors.
METHODS
A retrospective study of 192 consecutive patients admitted to Korea University Ansan Hospital with benign eyelid tumor between January 2009 and December 2014 was undertaken, and clinical records including age, sex, involved site, and pathology of tumors were reviewed retrospectively. All eyelid tumors were confirmed histopathologically.
RESULTS
The sexual distribution revealed 87 males and 105 females with benign eyelid tumors. The mean age at diagnosis was 42.6 +/- 19.2 years. Molluscum contagiosum (5.5 +/- 3.5 years) and pilomatrixoma (14.0 +/- 15.6 years) were generally found in younger individuals, while seborrheic keratosis (60.2 +/- 15.8 years) and squamous cell papilloma (50.5 +/- 13.4 years) occurred predominantly in elderly patients. Tumors were most common on the upper lid (63.0%). The four most frequent subtypes were melanocytic nevus (37.5%), epidermal cyst (8.3%), squamous cell papilloma (5.7%), and seborrheic keratosis (5.2%).
CONCLUSIONS
The most common histopathological diagnosis of benign eyelid tumors was melanocytic nevus. The results of this study provide epidemiological information that will be useful for diagnosis and therapy of such tumors.

Keyword

Benign eyelid tumor; Epidermal cyst; Melanocytic nevi; Squamous cell papilloma

MeSH Terms

Aged
Diagnosis
Epidermal Cyst
Eyelids*
Female
Gyeonggi-do
Humans
Keratosis, Seborrheic
Korea
Male
Molluscum Contagiosum
Nevus, Pigmented
Papilloma
Pathology
Pilomatrixoma
Retrospective Studies

Figure

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  Figure 1. Compound nevus. A compound nevus of the upper eyelid margin in a 48-year-old woman (black arrow).

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  Figure 2. Intradermal nevus. (A) A pigmented melanocytic nevus at the lower eyelid margin in a 34-year-old man (black arrow). (B) A nonpigmented melanocytic nevus of lower eyelid in a 69-year-old woman (black arrow).

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  Figure 3. Squamous papilloma. A Slightly elevated, pigmented mass located on the lower eyelid in a 52-year-old woman (black arrow).

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  Figure 4. Seborrheic keratosis. An elevated brown-colored mass located on the upper eyelid in a 47-year-old woman (black arrow).

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  Figure 5. Epidermal cyst. A smooth, soft, yellowish ruptured epidermal cyst located on the upper eyelid in a 27-year-old man (black arrow).

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  Figure 6. Dermoid cyst. A smooth, subcutaneous mass in the lateral aspect of the eyebrow in a 27-year-old woman (black arrow).

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  Figure 7. Pilomatrixoma. (A) A fairly well circumscribed mass located on the upper eyelid in a 3-year-old child (black arrow). (B) When he closed his eye, the lesion is well demarcated (black arrow).

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