Many benign lesions have typical features and you may be reassured that there is no cause for concern. The first step in your treatment will be to establish an accurate diagnosis through a detailed history and examination. What is the process for tumour diagnosis and management? This may gradually increase in size and cause irritation to the eye. Sebaceous gland carcinoma commonly displays a small but firm red or yellow lump on the eyelid. Patience may experience decreased vision if the cancer spreads behind the eye. Symptoms of Squamous cell carcinoma sometimes appear as a non-healing ulcer on the lower eyelid with hard raised edges, featuring redness, crusting or bleeding. The loss of eyelashes is an indicator of the tumour becoming malignant. If the cancer has started to spread, patients may experience swelling of the lymph nodes around the ear and under the chin.īasal cell carcinoma brings about a painless hard lump, usually in the lower eyelid, that grows to break down deeper tissue. Tumours in their advanced stage can ulcerate or display scaling and crusting, while earlier signs include lumps, lesions or bumps. Symptoms of eyelid tumours can vary, but are commonly characterised by skin changes. In later stages, patients may present with orbital pain, reduced vision, double vision or displacement of the eye. If the cancer has started to spread, patients may experience swelling of the lymph nodes around the ear and under the chin. The loss of eyelashes is an indicator of a malignant tumour. Tumours in their advanced stage can ulcerate or display scaling and crusting. Signs can vary but are commonly characterised by skin changes such as raised bumps, which may or may not be pigmented. Most eyelid tumours are asymptomatic in their early stages. What Are The Signs and Symptoms of Eyelid Tumours? These tumours are often misdiagnosed as a chalazion or blepharitis and therefore it is essential to be reviewed if you have a chalazion for many months or unilateral blepharitis. Sebaceous Gland Carcinoma – These very rare but aggressive tumours grow from the sebaceous glands found in the eyelids, from which oil is produced to keep the eye moist. SCCs have a wide range of presentation from scaly, pink skin to a keratinised cutaneous horn. These can spread rapidly to other parts of the body, although when caught early, most SCCs are curable. Squamous Cell Carcinoma – This is an aggressive form of skin cancer which forms from squamous cells which are the top layer of the skin.This type of tumour is more common in fair-skinned people and usually affects older individuals although can affect younger people too. They can, however, grow quite large locally and invade other tissues. These are unlike other forms of cancer in the fact that they do not spread to other parts of the body. Basal Cell Carcinoma - Basal cell carcinomas or ‘BCCs” are the commonest form of eyelid tumour and usually present as raised, pearly lesions on the eyelid margin.The most common types of malignant eyelid tumours are: We often recommend biopsy to exclude a malignant lesion, as left untreated can lead to serious consequences. It can sometimes be difficult to differentiate between benign and malignant lesions on the examination findings and history alone. Multiple types of benign lesions including cysts, skin tags and naevi are commonly seen on the eyelids.
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