Related Experiment Videos
[Squamous cell carcinomas of the eyelids: 18 cases]
Mencía Gutiérrez E1, Fernández González MC, Gutiérrez Díaz E
1Servicio de Oftalmología, Hospital 12 de Octubre, Madrid, España. emencia@hdoc.insalud.es
Purpose:
Squamous cell carcinoma (SCC) is relatively uncommon in eyelid (1 to 2% of all eyelid lesions). The true frequency of this tumor has been difficult to estimate because of a tendency for overdiagnosis (basal cell carcinoma and sebaceous carcinoma) in published reports of eyelids lesions.
Methods:
We present a retrospective review of a series of 18 patients, surgically treated in our hospital between 1990 and 1998, analysing their characteristics.
Results:
The pathologic examination revealed 18 SCC. Tumors developed most frequently in males, lower eyelid and right eye. The mean age and highest incidence decade were 71 years old and 71-80 years old (45%).
Conclusions:
SCC is the second common malignant eyelid tumor. Male are most affected. Recurrence after surgical excision is uncommon, but three of our patients developed orbital invasion (16.6%). SCC are much more likely to metastasise than basal cell carcinomas. They arise from pre-existing actinic keratoses, however, they possess less metastasic risk than other presentations. Unfortunately, our culture values the well-tanned look. At-risk patients may pay the ultimate price for this vanity.