Clinicopathological study of eye lid tumours in Hyderabad a€“ A review of 57 cases

摘要

An eyelid tumor leads to functional and aesthetic problems. The prevalence and distribution of eye lid tumors have considerable variation. The aim of this study was to categorize the prevalence and distribution of various eyelid tumors among population of Hyderabad over 3 years duration. This was a prospective study of 57 cases who reported to our tertiary hospital in Hyderabad from January 2013 to December 2015. The cases were analyzed for their sex distribution, tumor type, age distribution, incidence of malignant and benign tumors, tumor location, and complications at the time of presentation. The mean age of presentation of malignant tumors and benign tumors was 56 and 39 years respectively. The median age of presentation was 64 years for basal cell carcinoma, 50 years for sebaceous gland carcinoma (SGC) and 62 years for squamous cell carcinoma (SCC). The median age of presentation of various benign lesions were as follows: 33 years for dermoid cyst, 40 years for epidermal cyst, 36 years for capillary hemangioma, 54 years for squamous papilloma, 56 years for granulomatous lesion, 41 years for nevus, 19 years for keratoacanthoma, 58 years for sebaceous keratosis, 40 years for histiocytoma, 33 years for neurofibroma, 43 years for pleomorphic adenoma. The most common location of the tumor was upper lid (55.55%) for all the malignancies. Sebaceous gland carcinoma was the most common malignancy (55.5%) followed by basal cell carcinoma (33.3%) and squamous cell carcinoma (11.1%). Dermoid cyst was the most common type of benign lesion (37.5%). Surgical methods used were wedge excision with primary closure, wide excision, skin grafting and tarso-conjunctival flap. To conclude, sebaceous gland carcinoma was the most common malignancy and dermoid cyst was the most common tumor of benign origin. Hence it is our suggestion to have high degree of suspicion for these tumors for early diagnosis and intervention.