Eyelid Tumour

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Eyelid Tumour
Clinical
Benign non-inflammatory eyelid lesions
Seborrheic keratosis. Seborrheic keratosis is
a pigmented cutaneous lesion that can occur
through out the skin in older individuals but
can develop in the eye lid area .This raised
lesion can be smooth of verrucous, with
varied pigmentation, size and distribution.
Management
Nevus
Nevocellular nevi are benign proliferations
of melanocytic cells divided into 3
catergories depending on their architecture:
junctional,compound and intradermal. The
congenital nevus of the eyelid is a special
category with implications for malignant
transformation.
It is managed with surgical excision.
Actinic Keratosis
Actinic keratosis is a premalignant condition
characterized by dysplasia of the basal cell
layer of the skin. It ranges from millimeters
up to 1cm in size. They usually present as
erythematous, scaly macules or papules on
sun-exposed skin. Frequently the keratosis or
an elevated white flaky crust is seen on the
surface.
Diagnosis
Biopsy of suspicious lesions and follow-ups
are prudent in patients with this contition.
The base of the lesion must be examined
histopathologically to exclude invasive
squamous cell carcinoma. Therefore, biopsies
of suspected actinic keratosis should include
the base of the lesion. Shave biopsies should
be avoided.
Management
Treatment alternatives include excision
cryotherapy and a variety of topical agents to
extirpate the lesions.
Diagnosis
On the eyelid, the nevus often arises at the
eyelid margin and may be flat, elevated,
dome-shaped and even pedunculated. The
flat lesions are often junctional nevi.The
congenital nevus of the eyelids may present as
a kissing nevus in which the melano cytes are
present symmetrically on the upper and lower
eyelids.
Mangement
Management of congenital melanocytic nevi
depends on a number of factors, including the
size of the lesion, the location of the lesion, the
age of patient, the effect on cosmesis, and the
potential for malignant transformation.
Some nevi in which the diagnosis is
obvious may be cosmetically unacceptable
Verrucous - Covered with warts or wart-like projections; Dysplasia - Abnormality of development; Benign – Not harmful
Macule - Change in surface color, without elevation or depression; Keratosis - growth of keratin on the skin; Prudent - advisable
A R A V I N D
E Y E
C A R E
S Y S T E M
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to the patient or may cause irritation,
particularly if they are pedunculated. These
are easily removed using the slit lamp.
Hypercholesterolemia or congenital disorders
of cholesterol metabolism may be associated
conditions.
Xanthelasma
Diagnosis
Xanthelesma is a rare condition characterized
by soft yellow plaques in the medial canthal
area invoving the eyelids of patients.
Xanthelesma is usually diagnosed by
examining the skin growths, but a biopsy
of the tissue will confirm a fatty deposit.
A blood lipid profile and other tests may
be done to determine the underlying
condition responsible for the appearance of
Xanthelesma.
Management
-
-
-
Surgical excision
Destruction by chemicals (Trichloroacetic
acid), diathermy or photocoagulation.
Recurrence is very common.
- Ms. Muthumari
OPD; Aravind - Tirunelveli
Extirpate – destroy completely; Intradermal - within the layers of the skin; Pedunculated- attached to a bare; Nevus - raised red
patch; Hypercholesterolemia - excess of cholestrol in blood; Erythematos - appearing red; Papule - swelling of the skin.
Compassion January - March, 2014