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Masquerade of eyelid tumours

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Abstract

Space-occupying processes in the eyelids can either be due to lesions which are specific for the eyelids, such as a chalazion or a meibomian carcinoma, or to non-specific lesions of the skin or ocular adnexa. An incorrect interpretation on clinical or histological grounds is often made; in other words, some eyelid processes masquerade as others. The correct diagnosis should be made on the basis of case history, localisation, the appearance of the tumour and the histological findings, so that adequate treatment can be given. One must be aware of the danger of mistaking one space-occupying process for another. In the Leiden Ophthalmological Clinic a study was made of the incidence of eyelid tumours in the period 1981–1987, with special attention to the most important masquerade phenomena observed. In a group of 956 eyelid tumours histological examination was necessary in 126 cases. Basal-cell carcinoma was the most frequent diagnosis, but other less common tumours such as a trichilemmoma, an eosinophilic granuloma, a haemangio-endothelioma, a metastasis from a mammary carcinoma and a granuloma annulare were also diagnosed.

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References

  1. Apple DJ, Naumann GOH. Okuläre Adnexe: Lider, Tränenapparat und Orbita. In: Pathologie des Auges. Naumann GOH (ed), Springer Verlag, Berlin, 1980; pp 815–833.

    Google Scholar 

  2. Aurora AL, Blodi FC. Lesions of the eyelids: A clinicopathological study. Surv Ophthalmol 1970; 15: 94–104.

    Google Scholar 

  3. Bech K, Jensen OA. Klinik und Therapie der Lidtumoren. Bücherei des Augenarztes, Heft 78, Ferdinand Enke Verlag, Stuttgart, 1979.

    Google Scholar 

  4. Boniuk M, Zimmerman LE. Eyelid tumours with reference to lesions confused with squamous cell carcinoma. Arch Ophthalmol 1963; 69: 698–707.

    Google Scholar 

  5. Doxanas MT, Iliff WJ, Iliff NT, Green WR. Squamous cell carcinoma of the eyelids. Ophthalmol 1987; 94: 538–441.

    Google Scholar 

  6. Hufnagel T, Ma L, Kuo TT. Orbital angiosarcoma with subconjunctival presentation. Report of a case and literature review. Ophthalmol 1987; 94: 72–77.

    Google Scholar 

  7. Jakobiec FA. Tumours of the lids. In: Symposium on diseases and surgery of the lids, lacrimal apparatus and orbit. Transactions of the New Orleans Acad. Ophthalmol. Anderson RL, (ed), Mosby Co., St. Louis 1982; pp 264–307.

    Google Scholar 

  8. de Keizer RJW. Vascular disorders in the orbit and in the orbital region. In: Ophthalmic Tumours. Oosterhuis JA, (ed), Nijhoff/Junk Publ., Dordrecht 1985; pp 247–270.

    Google Scholar 

  9. de Keizer RJW, de Wolff-Rouendaal D, van Delft JL. Topical application of 5 Fluorouracil in premalignant lesions of cornea, conunctiva and eyelids. Doc Ophthalmol 1986; 64: 31–42.

    Google Scholar 

  10. Kwitko M, Boniuk M, Zimmerman L. Eyelid tumours with reference to lesions confused with squamous cell carcinoma: I. Incidence and errors in diagnosis. Arch Ophthalmol 1963; 69: 692–697.

    Google Scholar 

  11. Pau H, Schmitt-Graeff. Eosinophiles Granulom der Lider im Alter. Klin Mlb Augenheilk 1986; 189: 162–163.

    Google Scholar 

  12. Peeters HJF, Peeters FLM, de Keizer RJW, de Kraker J, van Heerde P. The eosinophilic granuloma. Ophthalmologica 1984; 188: 49–50.

    Google Scholar 

  13. Pinkus H, Mehregan AH. A guide to dermatopathology. Appleton-Century-Croft, new York 1976; p 532.

    Google Scholar 

  14. Reiffer DM, Ballitch HA, Kessler DL, Stawiski MA, O'Gawa GM. Tricholemmoma of the eyelid. Ophthalmol 1987; 94: 1272–1275.

    Google Scholar 

  15. Scheffer E, van Vloten WA. Diagnostic features of eyelid tumours with special emphasis on epithelial tumours. In: Ophthalmic Tumours. Oosterhuis JA, (ed), Nijhoff/Junk Publ Dordrecht 1985; pp 293–306.

    Google Scholar 

  16. Strempel I, Straub W. Statistical analysis of tumour excisions from eyelid and ocular adnexa. In: Proceedings of the VIIth Congress of the European Society of Ophthalmology, Helsinki, Finland, May 21–25, 1984. Yliopistopaino, Helsinki 1985; pp 674–675.

    Google Scholar 

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de Keizer, R.J.W., Scheffer, E. Masquerade of eyelid tumours. Doc Ophthalmol 72, 309–321 (1989). https://doi.org/10.1007/BF00153498

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