Características clínicas y patológicas del carcinoma basocelular palpebral / Clinical and pathological characteristics of basal cell eyelid carcinoma

Objetivo: Describir las características clínicas y patológicas del carcinoma basocelular. Métodos: Se realizó un estudio descriptivo y retrospectivo de serie de casos en el Servicio de Cirugía Plástica Ocular del Instituto Cubano de Oftalmología "Ramón Pando Ferrer", desde enero del año 2016 a diciembre de 2018. Se incluyeron todos los pacientes con diagnóstico histopatológico posoperatorio de carcinoma basocelular en el período de estudio. La muestra quedó conformada por 54 pacientes y se caracterizó según el año del diagnóstico, la edad, el sexo, el color de la piel, la procedencia, el grado de diferenciación celular, el párpado afectado, la localización palpebral, el diagnóstico preoperatorio y el diagnóstico histopatológico posquirúrgico. Resultados: El 57,4 por ciento de los pacientes fueron del sexo femenino. El grupo más afectado fue el de 60-79 años con el 53,7 por ciento de los casos, con una edad media de presentación de 54,57 años. El 88,9 por ciento de la muestra fueron de piel blanca. En el 79,6 por ciento se afectó el párpado inferior y en el 64,8 por ciento el tercio interno. El 64,8 por ciento fueron carcinoma basocelular poco diferenciados y la concordancia entre el diagnóstico clínico y el histopatológico fue del 85,2 por ciento. Conclusiones: El carcinoma basocelular es más frecuente en el sexo femenino, en los adultos mayores y en los pacientes de piel blanca. En cuanto al grado de diferenciación celular, es poco diferenciado, y se localiza fundamentalmente en el tercio interno del párpado inferior. Existe concordancia entre el diagnóstico clínico y el histopatológico en la mayoría de los pacientes(AU)

Objective: Describe the clinical and pathological characteristics of basal cell carcinoma. Methods: A retrospective descriptive study was conducted of a case series from the Oculoplastic Surgery Service at Ramón Pando Ferrer Cuban Institute of Ophthalmology from January 2016 to December 2018. The study universe was all the patients with a postoperative histopathological diagnosis of basal cell carcinoma in the period analyzed, from whom a sample 54 patients was selected. The variables analyzed were year of diagnosis, age, sex, skin color, place of residence, degree of cell differentiation, eyelid affected, eyelid location, preoperative diagnosis and postsurgical histopathological diagnosis. Results: Of the patients studied, 57.4 percent were female. The most affected age group was 60-79 years with 53.7 percent of the cases and a mean presentation age of 54.57 years. 88.9 percent of the sample had white skin. The lower eyelid was affected in 79.6 percent and the inner third in 64.8 percent. 64.8 percent were poorly differentiated basal cell carcinomas, whereas agreement between clinical and histopathological diagnosis was 85.2 percent. Conclusions: Basal cell carcinoma is more common in the female sex, elderly people and white skin patients. In terms of degree of cell differentiation, it is poorly differentiated, and its main location is the inner third of the lower eyelid. In most patients there is agreement between the clinical and histopathological diagnosis(AU)

Giant Schwannoma of upper eye lid in a male child of 13 years A rare case report

Isolated Schwannoma of the eyelid is an extremely rare benign neoplasm. Although it is believed to be present from birth, it show accelerated growth during the childhood or later in adults. These are generally asymptomatic or present as slowly enlarging, painless mass with progressive ptosis of the eyelid. I hereby report a case of giant schwannoma of size 3cmx3cmx2cm in the left upper eyelid of a 13 year old boy who developed progressive ptosis.

Correlación clínica y anatomopatológica de los tumores palpebrales intervenidos quirúrgicamente en el servicio de oculoplastia / Clinical and anatomopathological correlation of palpebral tumors operated on at the oculoplasty service

OBJETIVO: caracterizar la correlación clínica y anatomopatológica de las lesiones tumorales palpebrales. MÉTODOS: se realizó un estudio descriptivo y retrospectivo en los pacientes con tumores palpebrales intervenidos quirúrgicamente en el Servicio de Cirugía Plástica Ocular del Instituto Cubano de Oftalmología "Ramón Pando Ferrer" en el período de enero a septiembre de 2011. La muestra quedó constituida por 196 pacientes operados de las diferentes tumoraciones palpebrales, quienes cumplieron con los criterios de inclusión. Las variables que se utilizaron fueron: edad, sexo, color de la piel, localización de los tumores palpebrales malignos, calidad de la exéresis quirúrgica y correspondencia entre el diagnóstico clínico y el anatomopatológico. RESULTADOS: el grupo de edad de mayor porcentaje fue el de 65 años y más, con 38 %, así como el sexo femenino con 63 %. Fue mayor el número de pacientes de piel blanca, con 85 %. Coexistió correspondencia clínica y anatomopatológica en el 65 % de los casos con tumoraciones benignas, y en las malignas con el 71 %. En la mayoría de los casos la exéresis de la lesión fue completa. CONCLUSIONES: existe correspondencia entre el diagnóstico clínico y el anatomopatológico de las tumoraciones palpebrales, la cual es superior en los tumores malignos.

OBJECTIVE: to characterize the clinical and pathological correlation of eyelid tumor lesions. METHODS: a retrospective and descriptive study was conducted in patients with eyelid tumors surgically treated at the Ocular Plastic Surgery Department of "Ramón Pando Ferrer" Cuban Institute of Ophthalmology in the period from January to September 2011. The sample consisted of 196 patients operated on from different eyelid tumors , who met the inclusion criteria. The variables used were age, sex, race, location of malignant eyelid tumors, quality of the surgical resection quality and correspondence between the clinical and the pathological diagnoses. RESULTS: the largest age group was the 65 years-old percent and older with 38 %, and females accounted for 63 %. The Caucasian patients represented 85%. There was clinical and pathological correspondence in 65 % of patients with benign tumors and in 71 % of malignancies. Excision of the lesion was complete in most of cases. CONCLUSIONS: there was correspondence between the clinical and the pathological diagnoses of eyelid tumors, being higher in malignant tumors.

Clinical observation on the effect of resection of eyelid tumor and stageⅠ recovery / 国际眼科杂志(Guoji Yanke Zazhi)

AIM: To investigate clinical effects of local resection of eyelid tumors and pathological examination or frozen section examination as well as the stage I recovery. METHODS: For all 92 cases 92 eyes of eyelid tumor patients who underwent local resection, reconstruction in stage Ⅰ and routine pathological examination ( 37 cases of suspected malignant tumors using frozen section examination. If it was malignant, excision by Moths surgery) . Using free palate mucosa autograft in stage I or reconstruction by Hughes surgery combined with eye flaps repaired eyelid defects. RESULTS: The postoperative pathological diagnosis:52 cases were benign tumors, and 40 cases malignant tumors. All cases of eye flaps and hard palate mucosa grafts were survived. Followed up for more than 6mo, no tumor were recurred. The appearance and function of eyelid were satisfactory. CONCLUSION: In this group of cases, nearly half of eyelid tumors are malignant tumors. It should be treated and operated as early as possible. For suspected malignant tumors, we use frozen section examination to confirm its properties in order to excision cleanly in stageⅠ, reducing the recurrence and metastasis. According to the eyelid defect after resection, we could do repair operation in stage Ⅰ. The inner larger defect is repaired by using hard palate mucosa transplantation or Hughes surgery. The outer layer of the eyelid defect is repaired by using eye flap glide, the free flap, the kite flap, the simple suture, etc. It should be careful when using the hard palate mucosa transplantation in the upper eyelid defect.

Clinical Analysis of Benign Eyelid and Conjunctival Tumors

PURPOSE: To assess the occurrence and characteristics of benign eyelid and conjunctival tumors. METHODS: We histopathologically analyzed 80 consecutive cases of benign eyelid (56 cases) and conjunctival (24 cases) tumors between April 2000 and November 2002. All eyelid and conjunctival tumors were confirmed histopathologically. Age, sexual distribution, occurrence and location were analyzed. RESULTS: The mean ages were 42.32+/-16.27 SD in benign eyelid tumors, and 29.71+/-18.60 SD in benign conjunctival tumors. The sexual distribution revealed 23 males and 33 females in benign eyelid tumors, and 12 males and 12 females in benign conjunctival tumors. About the location, lower lid was most frequent site of benign eyelid tumors, responsible for 27 (48.2%) of the 56 cases, and medial conjunctiva was the most frequent site of benign conjunctival tumors, responsible for 14 (58.3%) of 24 cases. Shave biopsy was performed in eyelid margin tumors. Excisional biopsy was performed in other eyelid tumors and conjunctival tumors. The frequency of benign eyelid tumors was noted in this order: intradermal nevi 25 cases (44.6%), seborrheic keratoses 9 cases (16.1%), and compound nevi 6 cases (10.7%), and frequency of benign conjunctival tumors was noted in this order: compound nevi 7 cases (29.2%), and intradermal nevi 6 cases (25.0%). CONCLUSIONS: From the Results of this study, we hope that this report provides a basic source for diagnosis and therapy of the benign eyelid and conjunctival tumors.