EVALUATION OF THE EYELID AND PERIOCULAR TUMORS Göz Kapağı ve Perioküler Tümörlerin Değerlendirilmesi

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Özdoğan S.

Journal of Kirikkale University Faculty of Medicine, cilt.24, sa.2, ss.357-364, 2022 (Scopus, TRDizin)

Özet

Objective: Our aim was to determine and compare the demographic and histopathological features of eyelid and periocular tumors. Material and Methods: The medical records of the patients who had eyelid and periocular tumor surgery were retrospectively analyzed at the ophthalmology clinic. The data included age, gender, tumor location and histopathological outcomes and comparative study was performed between the benign, malignant and premalignant tumors. Detailed site of the tumor was described as right and left or bilateral, upper and lower. Medial and lateral canthal tumors and eyebrow tumors were described as periocular tumors. SPSS computer statistical software (version Chicago) was used for statistical analysis. Chi-square test was used for the significant differences. Results: A total of 190 patients with histopathologic confirmation were evaluated; 160 were (84.2%) eyelid lesions and 30 (15.8%) were periocular lesions. One hundred and forty (87.5%) of the eyelid lesions were benign, 17 (10.6%) of eyelid lesions were malignant and 3 (1.8%) of lesions were premalignant. Twenty (66.7%) of the periocular lesions were benign, 9 (30%) malignant and 1 (3.3%) was premalignant. Benign tumors were found to occur at younger ages compared to malignant (p=0.03) and premalignant lesions (p=0.038). One hundred and ten (68.7%) of benign tumors were seen in women and 50 (31.3%) in men. In contrast to benign tumors, malignant and premalignant tumors were more common in males (p=0.003). Malignant tumors were found to be significantly higher in the right eyes. There was a statistically significant difference in malignancy between periocular and eyelid tumors (χ(2)=8.488, p=0.014). Malignant tumors were found to be significantly higher in periocular lesions. Epidermal cyst (17.5%) was the most common benign tumor. Basal cell carcinoma was the most frequent malignant type (73.1%). Conclusion: Gender of male, lower lid location and senility are the risk factors that should be concerned in eyelid and periocular tumors.