Balchev Georgi, Murgova Snezhana
Ophthalmology Department, Medical University Pleven, Pleven, Bulgaria.
Surg Oncol. 2023 Oct;50:101982. doi: 10.1016/j.suronc.2023.101982. Epub 2023 Aug 14.
The eyelids are a small anatomical structure, yet they contain several histological layers from which benign and malignant tumors can originate. Compared to other parts of the face, the eyelids are often the first place where neoplasms or disease changes are noticed.
To analyze localization and its predictive malignancy of eyelid tumors over a 10-year period.
A retrospective study of 436 (450 eyes) patients operated on over a 10-year period. Descriptive, dispersion and correlation analyzes were performed.
The results provide a clear assessment of the distribution and incidence of eyelid tumors according to the localization of the defect, involvement of the lash line, inflammatory response, etc. Tumor distribution is significantly skewed in favor of the medial canthus, 80% to 20% by all tumors. The involvement of the lid margin occurs in 83% of malignant tumors and has significant predictive value.
The lower eyelid and the medial canthus are preferred locations for malignant tumors, and the upper eyelid for benign ones. Our study does not affect the types of surgical techniques; its purpose is to show the expected malignancy of the different combinations by location. The location of the tumor is a leading factor in the choice of the oculoplastic reconstructive procedure.
眼睑是一个小的解剖结构，但它包含几个组织学层次，良性和恶性肿瘤都可能起源于此。与面部其他部位相比，眼睑常常是肿瘤或疾病变化最先被注意到的部位。
分析10年间眼睑肿瘤的部位及其恶性预测情况。
对10年间接受手术的436例（450只眼）患者进行回顾性研究。进行描述性、离散性和相关性分析。
结果根据缺损部位、睫毛线受累情况、炎症反应等对眼睑肿瘤的分布和发生率进行了清晰评估。肿瘤分布明显偏向内眦，所有肿瘤中内眦占80%，其他部位占20%。睑缘受累见于83%的恶性肿瘤，具有显著的预测价值。
下眼睑和内眦是恶性肿瘤的好发部位，上眼睑则是良性肿瘤的好发部位。我们的研究不影响手术技术类型；其目的是展示不同部位组合的预期恶性程度。肿瘤部位是选择眼部整形重建手术的主要因素。
