A Clinico-Pathological Study of Peri-Ocular Tumors and Tumor-Like Lesions at Prince Rashid Bin Al-Hassan Military Hospital in the North of Jordan

Abstract

Objectives: This study was conducted to analyze the histologically-proven peri-ocular tumors and tumor-like lesions at Prince Rashid Bin Al-Hassan military hospital in the North of Jordan. Methods: This was a hospital based, non-comparative, retrospective review, conducted at Prince Rashid Bin Al-Hassan Military Hospital in the North of Jordan over a period of 4 years between January 2008 and January 2012. Medical records of patients who underwent excisional biopsy of a tumor or tumor-like lesion, or incisional biopsy when complete resection was impossible and proven by histopathology during that period, were reviewed and included in the study. Descriptive statistics like mean, average, frequency, and percentages were used. Results: A total of 105 patients were enrolled in this study. The affected cases were 55.2% male and 44.8% female with a male to female ratio of 1.2: 1. The median age of the patients was 27 years with a range of 10 months to 94 years. The 10-20 years age group was most frequently affected. Histopathological examination revealed that 87 (82.9%) cases were benign, six (5.7%) premalignant, and 12 (11.4%) malignant. The eyelids were the most common site for the lesions and accounted for more than half of the cases. The most frequent benign lesion was nevus and the most common malignant tumor was basal cell carcinoma. The commonest indication for tumor excision was cosmetic followed by suspicion of malignancy. Conclusion: Peri-ocular tumors appear to be frequent although the true prevalence in the North of Jordan is not detected. Males were more frequently affected. The frequency of malignant and premalignant tumors was significant (11.4% and 5.7% respectively), for this reason any suspicious lesion should be biopsied particularly after the fifth decade of life.