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WHAT TO KNOW ABOUT EYELID TUMORS
Turkey Medicals member and hospital Ophthalmologist Operator Doctor said, “Eyelids, consisting of different tissues such as skin, mucous membrane, muscle, glands, are vital for ensuring the anatomical integrity of the eye and maintaining visual function. By approaching each other, it protects the eye from trauma, adjusts the amount of light entering the eye, and helps spread the tear film. Lids are a continuation of the facial skin, specially shaped to wet the eyes, protect and clean the surface of the eyes. The skin of the eyelids is quite thin. The skin of the upper lid is the thinnest skin of body. The subcutaneous tissue is quite elastic, and there is no subcutaneous adipose tissue.”
A wide variety of malignant or benign (good or malignant) tumors can be seen on the eyelids. Benign or malignant lesions that occur on the eyelid; they can also be seen anywhere on the body covered with skin. However, they differ from localized skin lesions in other parts of the body both in terms of their histological features and in terms of the surgical principles applied in their treatment. It is extremely important that these tumors are recognized as small as possible at an early stage, and it is decided whether they are benign or malignant. The fact that they form serious cosmetic, anatomical and functional anomalies as a result of inadequate or inappropriate treatment; they can invade the globe, orbit and brain increases the importance of eyelid tumors.
Although benign lesions can be recognized by an experienced eye with their clinical appearance and behavior, the establishment of a histopathological diagnosis using a biopsy provides early recognition and treatment of malignant valvular tumors that can be fatal and is life-saving.
As with most diseases, the clinical history is very important. The age of onset of the lesion, how long it has existed for, growth rate, location, color changes on it, similarity to the skin tissue next to it, the presence of hair eyelashes, whether there is bleeding, thinning-ulceration – the presence of capillaries on its surface are important. Another point that should be questioned is whether there are other tumoral lesions in other parts of the patient’s body and whether any treatment has been performed before.
Malignant valve tumors are common in the light-skinned, older age group who are exposed to the sun for a long time. The fact that the tumor grows painlessly, has a heterogeneous color, crusts, disrupts the normal valve structure is a bad sign.
The stiffness of the lesion, whether it is mobile or not, the loss of eyelashes, spread of bone to surrounding tissues are important for malignancy. Limitation of eye movements should suggest the spread of the tumor to the orbit behind the eye. Systemic evaluation is necessary in terms of possible metastases.
Benign valve tumors occur quite often. For its treatment, simple excision and closure of the defect for cosmetic purposes are sufficient.
Nevuses, popularly called ‘Mole, which can be on all parts of the body, are not always as innocent as it might seem. If the existing ‘mole’ shows changes in the following years, such as growth, discoloration, bleeding or ulceration, hair loss on it, care should be taken and a specialist should be consulted. Lesions that are characterized as a mass or ‘mole‘ that appear later must be evaluated. Lesions that we consider to be benign and that do not show growth or changes should be followed up and photographed. In some cases, excision shaving is required. In malignant tumors, the treatment is surgery. The tumor is removed so that it contains a wide solid tissue border. Cautery krio is applied to the edge of the removed skin. If necessary, radiotherapy is performed, chemotherapy is used.
Although it seems to be the main goal to eliminate the mass in the treatment of valve masses, the main goal is to ensure the continuation of the anatomical and physiological functions of the eye, to preserve the anatomical structure and cosmetic image. Primary repair is sufficient for the reconstruction of small tumors in large tumors, a flap shift or a graft transplant from another part of the body (such as the inner arm-back of the ear) is required.
Eyelid repair is of particular importance. Unsuccessful and inadequate repairs can lead to aesthetic defects, as well as cause serious complications that can lead to conjunctivitis, keratitis, and eventually blindness.
Only 15-20% of tumors around the eyes have a malignant nature. When you have symptoms of eyelid, new growth is occurring when a lesion, or ‘earlier ‘ similar lesion differs not necessarily to the eye should be examined in Turkey eye hospital, and that it is necessary to determine whether a malignant tumor.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.