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Difference between revisions of "Eyelid"
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[[Image: Closed human eye, superior view.jpg|thumb|right|A photograph showing the superior eyelid. (WC/Rapidreflex)]] | |||
[[Image:Syringoma -- low mag.jpg|thumb|right|A [[micrograph]] showing a [[syringoma]]. These are typically lower eyelid tumours. [[H&E stain]].]] | |||
The '''eyelid''' is occasionally sent to [[pathology]]. Information about the eye is found in the ''[[eye]]'' article. | The '''eyelid''' is occasionally sent to [[pathology]]. Information about the eye is found in the ''[[eye]]'' article. | ||
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***One was [[squamous carcinoma]]. | ***One was [[squamous carcinoma]]. | ||
Malignant tumours:<ref name=pmid9488271>{{cite journal |authors=Margo CE, Mulla ZD |title=Malignant tumors of the eyelid: a population-based study of non-basal cell and non-squamous cell malignant neoplasms |journal=Arch Ophthalmol |volume=116 |issue=2 |pages=195–8 |date=February 1998 |pmid=9488271 |doi=10.1001/archopht.116.2.195 |url=}}</ref> | ===Common lesions=== | ||
The most common lesion - as per a large series of 1,541 cases:<ref name=pmid26028084/> | |||
*[[Squamous papilloma]]. | |||
*[[Nevus]]. | |||
*[[Seborrheic keratosis]]. | |||
*Hydrocystomas. | |||
*[[Xanthelasma]]. | |||
*[[Epidermal cyst]]. | |||
==Malignant tumours of the eyelid== | |||
Malignant eyelid tumour in order of frequency:<ref name=pmid9488271>{{cite journal |authors=Margo CE, Mulla ZD |title=Malignant tumors of the eyelid: a population-based study of non-basal cell and non-squamous cell malignant neoplasms |journal=Arch Ophthalmol |volume=116 |issue=2 |pages=195–8 |date=February 1998 |pmid=9488271 |doi=10.1001/archopht.116.2.195 |url=}}</ref> | |||
*[[Basal cell carcinoma]]. | *[[Basal cell carcinoma]]. | ||
*[[Squamous cell carcinoma]]. | *[[Squamous cell carcinoma]]. | ||
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*Mucinous adenocarcinoma. | *Mucinous adenocarcinoma. | ||
*Adenocarcinoma not otherwise specified. | *Adenocarcinoma not otherwise specified. | ||
* | *Adnexal carcinoma not otherwise specified. | ||
*Sweat gland carcinoma. | *Sweat gland carcinoma. | ||
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*~8% of eyelid tumours in one series.<ref name=pmid26028084/> | *~8% of eyelid tumours in one series.<ref name=pmid26028084/> | ||
*Type of [[xanthoma]].<ref name=pmid25949023>{{Cite journal | last1 = Pathania | first1 = V. | last2 = Chatterjee | first2 = M. | title = Ultrapulse carbon dioxide laser ablation of xanthelasma palpebrarum: a case series. | journal = J Cutan Aesthet Surg | volume = 8 | issue = 1 | pages = 46-9 | month = | year = | doi = 10.4103/0974-2077.155084 | PMID = 25949023 }}</ref> | *Type of [[xanthoma]].<ref name=pmid25949023>{{Cite journal | last1 = Pathania | first1 = V. | last2 = Chatterjee | first2 = M. | title = Ultrapulse carbon dioxide laser ablation of xanthelasma palpebrarum: a case series. | journal = J Cutan Aesthet Surg | volume = 8 | issue = 1 | pages = 46-9 | month = | year = | doi = 10.4103/0974-2077.155084 | PMID = 25949023 }}</ref> | ||
**It is said that a ''xanthoma'' can be anywhere. If it is on the eyelid it is a ''xanthelasma''; a ''xanthelasma'' is a xanthoma of the eyelid.<ref>URL: [https://www.merriam-webster.com/medical/xanthelasma https://www.merriam-webster.com/medical/xanthelasma]. Accessed on: May 1, 2023.</ref> | |||
*Associated with increased serum lipid levels.<ref name=pmid23503059>{{Cite journal | last1 = Rubinstein | first1 = TJ. | last2 = Mehta | first2 = MP. | last3 = Schoenfield | first3 = L. | last4 = Perry | first4 = JD. | title = Orbital xanthogranuloma in an adult patient with xanthelasma palpebrarum and hypercholesterolemia. | journal = Ophthal Plast Reconstr Surg | volume = 30 | issue = 1 | pages = e6-8 | month = | year = | doi = 10.1097/IOP.0b013e3182873d13 | PMID = 23503059 }}</ref> | *Associated with increased serum lipid levels.<ref name=pmid23503059>{{Cite journal | last1 = Rubinstein | first1 = TJ. | last2 = Mehta | first2 = MP. | last3 = Schoenfield | first3 = L. | last4 = Perry | first4 = JD. | title = Orbital xanthogranuloma in an adult patient with xanthelasma palpebrarum and hypercholesterolemia. | journal = Ophthal Plast Reconstr Surg | volume = 30 | issue = 1 | pages = e6-8 | month = | year = | doi = 10.1097/IOP.0b013e3182873d13 | PMID = 23503059 }}</ref> | ||
**Incidence of elevated cholesterol is higher in younger patients.<ref name=Ref_Derm628>{{Ref Derm|628}}</ref> | **Incidence of elevated cholesterol is higher in younger patients.<ref name=Ref_Derm628>{{Ref Derm|628}}</ref> | ||
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- Benign skin tag with rare foamy histiocytes in keeping with an early xanthelasma. | - Benign skin tag with rare foamy histiocytes in keeping with an early xanthelasma. | ||
- NEGATIVE for malignancy. | - NEGATIVE for malignancy. | ||
Comment: | |||
Xanthelasma may be associated with metabolic abnormalities. A lipid profile is suggested if not done recently. | |||
</pre> | </pre> | ||
==Chalazion== | ==Chalazion== | ||
{{Main|Chalazion}} | {{Main|Chalazion}} | ||
==Syringoma== | |||
{{Main|Syringoma}} | |||
==See also== | ==See also== | ||