J Med Allied Sci 2016; 6 (2): 72-76
www.jmas.in
Print ISSN: 2231 1696 Online ISSN: 2231 170X
Journal of
Medical &
Allied Sciences
Original article
Clinicopathological study of eye lid tumors in
Hyderabad – A review of 57 cases
Siddharth Karan
1
, Manisha Nathani
1
, Tanveer Khan
1
, Sucheta Ireni
1
, Aftab Khader
1
1
Department of Ophthalmology, Deccan College of Medical Sciences, Kanchanbagh (PO),
Hyderabad-500058, Telangana, India.
Article history: Abstract
Received 22 March 2016
Accepted 22 April 2016
Early online 12 July 2016
Print 31 July 2016
An eyelid tumor leads to functional and aesthetic problems. The preva-
lence and distribution of eye lid tumors have considerable variation. The
aim of this study was to categorize the prevalence and distribution of vari-
ous 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, inci-
dence 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 carci-
noma (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 ade-
noma. 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 squa-
mous 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 malig-
nancy and dermoid cyst was the most common tumor of benign origin.
Hence it is our suggestion to have high degree of suspicion for these tu-
mors for early diagnosis and intervention.
Corresponding author
Siddharth Karan
Professor,
Department of Ophthalmology,
Deccan College of Medical Sciences,
Kanchanbagh, Hyderabad-500058,
Telangana, India.
Phone: +91-9959094935
Email: drsiddharthkaran@gmail.com
Key words: Dermoid cyst, Sebaceous gland carcinoma
DOI: 10.5455/jmas.221842
© 2016 Deccan College of Medical Sciences. All rights reserved.
he incidence of eyelid tumors is increasing
1-5
.
Eyelid tumors thus form an important part of
ophthalmology practice, and are by far the
most common neoplasms encountered in ophthal-
mic practice. Tumors of eyelids are common in
people of both sexes and all age groups represent-
ing more than 90% of ophthalmic tumors
6
. Most of
the tumors are diagnosed clinically. The treatment
T
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