Eyelid Tumours – Eye cancer

Area

Eyelids eyes

Anesthesia

Yes

Surgery Time

  • Short
  • Medium
  • Long

50

Recovery Time

  • Short
  • Medium
  • Long

50

Rehabilitation Time

  • Short
  • Medium
  • Long

33.3

WHAT ARE BENIGN EYELID TUMOURS?

tumore palpebra superiore

Eyelid are a possible abode of skin tumours, benign formations or simple excrescences may be localised in any part of the eyelid.
They are more or less protruding and tend to increase in size. For this reason it is best to intervene as fast as possible, to avoid extensive surgeries.
Considering their non-malignant nature, they represent only an aesthetic problem.


CAN I UNDERGO AN OPERATION?

Benign tumorous lesions are removed in the following cases:

  • Their size becomes visible and fastidious for the patient.
  • The lesion’s volume increases, alarming the patient.
  • The neoformations are multiple and tend to converge, determining the malpositioning of the eyelids and altering their mobility.
  • The symmetry of the gaze and of the face is altered by their presence.

WHAT DOES THE OPERATION CONSIST OF?

Depending on different cases, benign tumours and excrescences can be eliminated through:

  • CO2 laser with local anaesthesia.
  • Aesthetic surgery.
  • Chemical peeling.

Each patient will be directed towards the most appropriate and latest surgical treatments according to the latest guidelines set by international surgical associations


WHAT CAN I EXPECT? WHAT ARE THE RESULTS?

  • The removal of the excrescenses is rapid and painless.
  • Normally it does not leave scars or signs.
  • The removal is usually permanent.

WHAT ARE MALIGNANT TUMOURS?

Eyelids may be affected by many neoplastic lesions which vary in character based on
their origin and morphological histotype.
We may classify malignant eyelid tumours as epithelial, mesenchymal, melancytic or lymphocytic.
Among malignant neoplasias, the most common forms are epithelial. The main risk factor is represented by a prolonged sun exposure; among these the most spread are:

Basal cell epithelioma:

  • It is the most widely spread eyelid tumour (90% of malignant tumors of eyelids): it often looks like a nodular or ulcerated lesion, with recurrent bleedings.
  • The basal cell epithelioma is often situated at the lower eyelid or inner corner level. If the eyelid edge is affected, it frequently involves a loss of eyelashes.

Spinal cell epithelioma:

  • Although it is less frequent than a basal cell carcinoma, it has a more aggressive nature. The neoplasia may appear as an erythematous plaque (irritated, reddish, with rough margins), or as a leucoplachia of the mucous (a white patch of the mucous with irregular margins).
  • It may originate from an actinic keratosis, that is, areas of the already sun damaged skin.

WHAT DOES THE TREATMENT CONSIST OF?

immagine post rimozione tumore palpebrale

By performing a surgery, unique for each patient, the oculoplastic surgeon – a figure highly specialised in plastic, reconstructive and aesthetic surgery of the eyelid, gaze and face – proceeds to a correct removal of the tumour, using innovative and continuously updated techniques.

  • The surgical treatment involves a complete removal of the malignant tumour with a careful intra-operatory histological control of the margins (Mohs surgery).
  • The radiotherapy, cryotherapy and the possible removal of the orbital content are alternative forms of treatment.

WHAT CAN I EXPECT? WHAT ARE THE RESULTS?

pre post rimozione tumore palpebrale

The margins of the resection must be free of any sign of disease, therefore the incision must completely include all of the neoplasia. The operation has the aim of being as conservative as possible, reducing the escision area to the minimum but staying within the limits of safety.

Given the closeness of the eyelid tumor to the eye, organ responsible for seeing, and with the tear ducts, responsible for correct draining of the tear ducts, a particular attention must be paid to the correct and complete removal of these tumours. On the surgically removed piece an analysis is performed which allows to identify the nature of neoplasia, its extension, the eventual need of other progressive tests or further operations. The patient is followed through the entire diagnostic-therapeutic process.

Each patient will be directed towards the most appropriate and latest surgical treatments according to the latest guidelines set by international surgical associations

Contact us for more information

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