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Updated: Jun 20, 2025

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Lymph Node Evolution in Eyelid and Orbit Squamous Cell Carcinomas.

Emilien Chebib1, Guillaume Rougier1, Antoine Dubray-Vautrin1

  • 1Head & Neck Oncologic and Reconstructive Surgery Department, Institut Curie, Ear, Nose & Throat, Paris, France.

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PubMed
Summary
This summary is machine-generated.

Squamous cell carcinomas (SCCs) of the eyelid and periorbital region can spread to lymph nodes, particularly the parotid gland. Tumor size, invasion, and recurrence increase this risk, necessitating careful evaluation and potential dissection.

Keywords:
eyelidlymph nodesorbitparotid glandsquamous cell carcinomas

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Area of Science:

  • Ophthalmology
  • Dermatology
  • Head and Neck Surgery

Background:

  • Squamous cell carcinoma (SCC) of the eyelid and periorbital region is a common skin malignancy.
  • Understanding the patterns and risk factors for lymph node metastasis is crucial for effective management.

Purpose of the Study:

  • To characterize a large cohort of eyelid and periorbital SCCs.
  • To compare tumor location with pathological lymph node sites.
  • To identify risk factors associated with lymph node involvement.

Main Methods:

  • Retrospective analysis of patients with eyelid and periorbital SCCs.
  • Evaluation of tumor characteristics, imaging, excision margins, and lymph node status.
  • Univariate and multivariate analyses to determine risk factors for lymph node involvement.

Main Results:

  • 15.7% of patients (18/115) developed lymph node metastasis.
  • Parotid gland involvement was most common (88.9%), followed by submental/submandibular (38%) and jugular/carotid areas (22%).
  • Risk factors for lymph node metastasis included tumor size >20mm, invasion of canthus/periorbital structures, perineural/vascular invasion, deep infiltration, and local recurrence.

Conclusions:

  • Periorbital and eyelid SCCs have a significant potential for lymph node metastasis, primarily via the parotid gland.
  • Mandatory inclusion of parotid gland and neck in imaging and assessment is recommended.
  • Lymph node dissection should be considered in cases of parotidectomy for confirmed lymph node involvement.