Abstract

BackgroundThe majority of eyelid tumours are benign in nature and constitute 82%-98% of all eyelid tumours. This study aimed to explore the prevalence and frequency of histopathological diagnoses of eyelid tumours encountered in Hospital Sultanah Bahiyah (HSB), Malaysia, from 2016 to 2020.MethodThis study is a case series of 136 patients with eyelid tumours who underwent eyelid biopsy.ResultTwenty-three (17%) patients were below 18 years old, 64 (47%) patients were between 19 and 64 years old and 49 (36%) patients were more than 65 years old. The mean age in this study was 47.9 ± 25.4 years. The most common benign eyelid tumours were dermoid cyst (31, 22.8%), melanocytic nevus (19, 14%), granuloma (17, 12.5%), squamous cell papilloma (13, 9.6%) and epidermal cyst (12, 8.8%). Most of the benign eyelid tumours occurred at the upper lids (79.8%), and most of the malignant eyelid tumours occurred at the lower lids (81.8%). The most common malignant eyelid tumours were basal cell carcinoma (BCC) (6, 14.3%), followed by malignant lymphoma (3, 6.1%) and sebaceous gland carcinoma (2, 4.1%). Eight out of nine cases of BCC were located at the lower lids. All malignant lymphomas were primary lymphoma. Five were extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT), and one was follicular lymphoma. All cases with benign and malignant tumours required only a single surgery for excision, and none of the cases had a recurrence.ConclusionThere were limited references to the epidemiology of histopathological diagnoses of eyelid tumours in Malaysia. Although benign lesions comprise the majority of eyelid tumours, it is essential to delineate between benign and malignant eyelid tumours.

Highlights

  • Eyelid tumours occupy a large spectrum of conditions ranging from benign lesions such as dermoid cyst to aggressive, life-threatening malignancy such as sebaceous gland carcinoma [1]

  • Most of the benign eyelid tumours occurred at the upper lids (79.8%), and most of the malignant eyelid tumours occurred at the lower lids (81.8%)

  • A total of 136 eyelid tumours that underwent eyelid biopsy were identified during the five-year study period

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Summary

Introduction

Eyelid tumours occupy a large spectrum of conditions ranging from benign lesions such as dermoid cyst to aggressive, life-threatening malignancy such as sebaceous gland carcinoma [1]. Understanding the clinical and histopathological characteristics of eyelid tumours can aid in establishing an early diagnosis and early treatment for patients. Hospital Sultanah Bahiyah (HSB) is the tertiary referral centre of oculoplastic service in Northern Malaysia. There is limited data available in the literature that describes the histopathological diagnoses of eyelid tumours in Malaysia. This study aimed to examine the demographic statistic and histopathological diagnoses of eyelid biopsies in a local population. This study aimed to explore the prevalence and frequency of histopathological diagnoses of eyelid tumours encountered in Hospital Sultanah Bahiyah (HSB), Malaysia, from 2016 to 2020

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