Classification and Therapeutic Effect of Benign and Malignant Eyelid Tumors.

Kim, Ke Hahn; Chung, Wha Sun

Original Article

Journal of the Korean Ophthalmological Society 1997;38(5):703-709.
Published online May 1, 1997.

Classification and Therapeutic Effect of Benign and Malignant Eyelid Tumors.

Ke Hahn Kim, Wha Sun Chung

Department of Ophthalmology, College of Medicine, Yeungnam University, Taegu, Korea.

양성 및 악성 안검종양의 분류와 치료효과

김계한(Ke Hahn Kim),정화선(Wha Sun Chung)

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%).

Key Words: Basal cell carcinoma;Benign eyelid tumor;Malignant eyelid tumor;Meibomian gland carcinoma