Quelles marges d’exérèse pour les carcinomes de paupières ?

Mouriaux, Frédéric; Stefan, Anna-Maria; Coffin-Pichonnet, S; Verneuil, L.; Rousselot, Pierre

doi:10.1016/j.jfo.2014.11.003

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…Safety margins for other cutaneous melanomas cannot be applied in eyelid melanoma for anatomic and functional reasons, because such recommendations may lead to severe ocular complications, even loss of the globe and vision. Mouriaux et al suggest a “slow-Mohs” micrographic surgery for eyelid melanomas in order to preserve ocular integrity [17]. …”

Section: Discussionmentioning

confidence: 99%

Comparison of the Clinical Characteristics and Outcome of Benign and Malignant Eyelid Tumors: An Analysis of 4521 Eyelid Tumors in a Tertiary Medical Center

Huang

Liang

Tsai

et al. 2015

BioMed Research International

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We retrospectively reviewed the clinical features and outcome of benign and malignant eyelid tumors from 1995 to 2015 in a tertiary medical center. Among 4,521 histologically confirmed eyelid tumors, 4,294 (95.0%) were benign tumors and 227 (5.0%) were malignant tumors. The mean age at diagnosis was significantly higher in patients with malignant lid tumors than those with benign lid tumors (72.5 and 55.4 years, resp., p < 0.001). The most common benign eyelid tumors were intradermal nevus (21.1%), followed by seborrheic keratosis (12.6%) and xanthelasma (11.2%). The most common malignant eyelid tumors were basal cell carcinomas (57.8%), followed by sebaceous gland carcinomas (21.1%) and squamous cell carcinomas (10.1%). There was a relative male predominance (63.4% and 49.2%, resp., p < 0.001) and higher recurrence rate (11.9% and 4.4%, resp., p < 0.001) in malignant lid tumors as compared with those of benign lid tumors. Twenty-two patients (9.7%) received orbital exenteration/enucleation. Eight patients (3.5%) with malignant lid tumors died of disease. Patients with eyelid melanoma were associated with a high mortality rate (25.0%). It is important to differentiate between benign and malignant eyelid tumors, because they may cause cosmetic disfigurement and severe morbidity, especially in those with malignant eyelid tumors.

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Section: Discussionmentioning

confidence: 99%

Comparison of the Clinical Characteristics and Outcome of Benign and Malignant Eyelid Tumors: An Analysis of 4521 Eyelid Tumors in a Tertiary Medical Center

Huang

Liang

Tsai

et al. 2015

BioMed Research International

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“…Because of the anatomical peculiarities of the eyelids, serial excisions are sometimes necessary to achieve favorable esthetic and functional surgical outcomes [10]. In the case of this patient, in order to obtain excision margins of 4 mm, as indicated in the literature [11], a supplementary intervention was necessary. Moreover, as the patient was under chronic anticoagulant treatment, the difficulty of the surgical intervention was increased by significant intraoperative bleeding.…”

Section: Differential Diagnosismentioning

confidence: 96%

Surgical management of periocular squamous cell carcinoma: case report

Alexa,

Ciubotaru,

Leferman

et al. 2023

JMedLife

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This report describes the case of a 72-year-old female patient admitted to the ophthalmology clinic for a large roundoval tumor with a long-standing keratotic lesion on her lower eyelid, without extending to the free margin of the eyelid. The tumor was excised with a margin in non-tumorous tissue, the nearest being 1 mm away from the tumor at the 12 o'clock position. The surgical process was complicated by the patient's treatment with the anticoagulant rivaroxaban, resulting in increased bleeding during surgery. The histopathological evaluation showed characteristics indicative of a well-differentiated squamous cell carcinoma, more specifically, the keratoacanthoma type. Consequently, it was necessary to extend the excision at the 12 o'clock position by an additional 3 mm. The procedure involved extensive removal of the impacted area and subsequent reconstruction with advancement flaps, supported by histological examination to ensure total excision. In cases of squamous cell carcinoma on the eyelid, multiple sequential excisions are often required to ensure complete removal within safe histological margins, achieving desirable functional and esthetic results.

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“…A complete excision biopsy of the mass performed with a margin of 4mm [17], and the skin defect was closed with interrupted sutures. A histopathological examination conducted on the excised mass.…”

Section: Case Reportmentioning

confidence: 99%

Pyogenic granuloma of eyelid: A literature review and case report

Dasari¹,

KVV²,

Vedula³

2022

J Med sci Res.

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Pyogenic granuloma is an acquired vascular proliferative lesion with associated inflammation, affecting the skin and mucous membranes more frequently. Ocular pyogenic granulomas are rare, involving adnexa, conjunctiva, and cornea. Eyelid pyogenic granuloma is uncommon, associated with chalazion, lid surgeries, lacrimal sac procedures, trauma, predisposing cutaneous lesions, congenital capillary malformations, and idiopathic. We report a case of a 40-year-old male patient who attended our outpatient department with right eye upper lid painless growth, gradually increasing in size in the last two months. The differential diagnosis was burst chalazion, capillary haemangioma, molluscum contagiosum, pilomatricoma, basal cell carcinoma, squamous cell carcinoma, and Kaposi's sarcoma. The lesion was surgically excised, and histopathological examination confirmed the diagnosis. There was no recurrence. This present case illustrates the importance of considering benign inflammatory causes in the differential diagnosis of eyelid mass lesions to avoid unnecessarily aggressive intervention.

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Quelles marges d’exérèse pour les carcinomes de paupières ?

Cited by 6 publications

References 21 publications

Comparison of the Clinical Characteristics and Outcome of Benign and Malignant Eyelid Tumors: An Analysis of 4521 Eyelid Tumors in a Tertiary Medical Center

Comparison of the Clinical Characteristics and Outcome of Benign and Malignant Eyelid Tumors: An Analysis of 4521 Eyelid Tumors in a Tertiary Medical Center

Surgical management of periocular squamous cell carcinoma: case report

Pyogenic granuloma of eyelid: A literature review and case report

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