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    Tumors of Eyelids

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    abdulrehman akhtar
    The document discusses different types of tumors that can occur on the eyelids, classifying them as non-pigmented or pigmented tumors. It provides details on malignant tumors such as basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma, Merkel cell carcinoma, and Kaposi sarcoma, describing their causes, characteristics, risk factors, clinical presentations, and treatment options.

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    Tumors of Eyelids

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    abdulrehman akhtar
    18 views25 pages
    The document discusses different types of tumors that can occur on the eyelids, classifying them as non-pigmented or pigmented tumors. It provides details on malignant tumors such as basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma, Merkel cell carcinoma, and Kaposi sarcoma, describing their causes, characteristics, risk factors, clinical presentations, and treatment options.

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    4th year mbbs

    Original Title

    TUMORS OF EYELIDS

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    The document discusses different types of tumors that can occur on the eyelids, classifying them as non-pigmented or pigmented tumors. It provides details on malignant tumors such as basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma, Merkel cell carcinoma, and Kaposi sarcoma, describing their causes, characteristics, risk factors, clinical presentations, and treatment options.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    18 views25 pages

    Tumors of Eyelids

    Uploaded by

    abdulrehman akhtar
    The document discusses different types of tumors that can occur on the eyelids, classifying them as non-pigmented or pigmented tumors. It provides details on malignant tumors such as basal cell carcinoma, squamous cell carcinoma, sebaceous gland carcinoma, Merkel cell carcinoma, and Kaposi sarcoma, describing their causes, characteristics, risk factors, clinical presentations, and treatment options.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 25

    TUMORS OF

    EYELIDS
    CLASSIFICATION OF TUMORS

    Tumors of eyelids are broadly classified into two


    categories;

    • Non-Pigmented Tumors
    • Pigmented Tumors
    NON-PIGMENTED TUMORS

    Non-Pigmented tumors are further classified into two


    subtypes;

    • Benign Tumors
    • Malignant Tumors
    MALIGNANT TUMORS

    Malignant tumors are cancerous and can spread


    cancer cells throughout one’s body through the blood
    or lymphatic system, a process known as metastasis.

    • Basal Cell Carcinoma


    • Squamous Cell Carcinoma
    • Sebaceous Gland Carcinoma
    • Merkel Cell Carcinoma
    • Kaposi Sarcoma
    BASAL CELL CARCINOMA

    • Arises from basal layer of epidermis


    • Affects elderly people
    • Most common malignancy, almost 90% of cases
    • Arises from lower eyelid, followed by medial
    canthus, upper eyelid and lateral canthus
    • Slowly growing, locally invasive, non-metastasizing
    • Tumor near medial canthus likely to invade orbit
    RISK FACTORS

    • Increasing age
    • Extended sun exposure in fat-skinned people
    • Cutaneous disease
    CLINICAL TYPES

    • Nodular
    Most common, shiny, firm pearly indurated nodule
    with blood vessels on its surface
    • Nodulo-Ulcerative
    Nodule has central ulceration, pearly raised rolled
    edges with fine blood vessels over the lateral margins
    CLINICAL TYPES

    • Sclerosing and Infiltrative


    Flat, indurated plaque due to infiltration occurring
    under epidermis.
    Tends to be more aggressive on palpation than on
    inspection.
    It stimulates chronic blepharitis
    TREATMENT

    • Incisional Biopsy
    • Excisional Biopsy
    • Cryotherapy
    • Radiation Therapy
    • Laser Microsurgery
    • Chemotherapy
    • Topical Imiquimod 5% Cream.
    SQUAMOUS CELL CARCINOMA

    • Arises from cell layer of epidermis


    • Second most common eyelid malignancy, 5-10% of
    the cases
    • Most common in older fair-skinned people with a
    history of chronic sun exposure
    • Arises de novo / from pre-existing actinic keratosis /
    carcinoma in situ (Bowen’s Disease)
    • Metastasis to regional lymph nodes
    RISK FACTORS

    • Increasing age
    • Extended sun exposure
    • White skin
    • Immune suppression
    • Xeroderma pigmentosa
    CLINICAL TYPES

    • Bowen’s Disease
    SCC in situ, roughened scaly erythematous
    hyperkeratotic, sharply demarcated patch/plaque
    • Nodular
    Appears as hyperkeratotic nodule
    • Ulcerative
    Ulcer have red base with sharply defined indurated
    and everted borders
    TREATMENT

    • Exenteration
    • Excisional Surgery
    • Radiation Therapy
    SEBACEOUS GLAND CARCINOMA

    • Arises from Meibomian glands, also from glands of


    Zeis
    • Average age is 60 years
    • Incidence is almost 1%
    • Most commonly occurs in upper eyelids
    RISK FACTORS

    • Increasing age
    • Common in Asians
    • Immune suppression
    • Xeroderma pigmentosa
    CLINICAL TYPES

    • Nodular
    Appears as discrete painless nodule.
    Stimulates chalazion
    • Spreading
    Appears as diffuse thickening of eyelid due to
    infiltration into the dermis
    Stimulates chronic blepharitis
    TREATMENT

    • Exenteration
    • Excisional Surgery
    • Radiation Therapy
    MERKEL CELL CARCINOMA

    • Very rare tumor of eyelid seen in older age people


    • Rapidly growing, highly malignant tumor
    • Arises from Merkel cells which are epithelial
    neuroendocrine cells
    • CLINICALLY
    Appears violaceous, well-demarcated defined nodule
    with intact overlying skin
    • TREATMENT
    Excisional Surgery
    KAPOSI SARCOMA

    • Rare tumor arising from human herpesvirus 8


    (HHV8)
    • Usually affects people with AIDS
    • CLINICALLY
    It is vascular tumor appearing pink, red-violet to
    brown lesion
    • TREATMENT
    Radiotherapy or Excision with optimal control of AIDS
    THANK
    YOU!

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