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The Clinical Features of the Tumor on the Lid Margin at Medial Side versus the Tumor around the Punctum
Ann Optom Contact Lens 2019;18:41-45
Published online June 25, 2019
© 2019 The Korean Optometry & Contact Lens Study Society

Seunghyun Lee, MD, Helen Lew, MD, PhD

Department of Ophthalmology, CHA Bundang Medical Center, Seongnam, Korea
Correspondence to: Helen Lew, MD, PhD
Department of Ophthalmology, CHA Bundang Medical Center, #59 Yatap-ro, Bundang-gu, Seongnam 13496, Korea
Tel: 82-31-780-5330, Fax: 82-31-780-5333
E-mail: eye@cha.ac.kr
Received May 10, 2019; Revised May 29, 2019; Accepted May 29, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: To compare the clinical features and biopsy results of patients with the tumor on the lid margin at medial side versus those with the tumor around the punctum.
Methods: A retrospective medical record review was conducted on 58 patients, each having tumor on the eyelid from March 2001 to June 2018 in CHA Bundang Medical Center.
Results: Thirty seven cases with the tumors on the lid margin at medial side and 21 cases with the tumors around the punctum were reviewed. There were increase in size for 18.9% of the tumors on the lin margin and 23.8% of the tumors around the punctum and epiphora for 19.0% of the tumors around the punctum. Histology revealed 70.3% for epidermal tumors, 21.6% for inflammatory and infection lesions, 4.0% for stromal tumors and 2.7% of adnexal tumors in the tumors on the lid margin at medial side. There were 76.2% for epidermal tumors and 23.9% for adnexal tumors in the tumors around the punctum. The tumors occurred more commonly on the upper lid (75.7%) for the tumors on the lid margin, whereas more often on lower lid (81.0%) for the tumors around the punctum.
Conclusions: The incidence of adnexal tumors was relatively high and stromal, inflammatory and infectious tumors was low in the tumor around the punctum compared to on the lid margin. And the tumors occur more often at lower lid. There would be a difference in the location, pathology and etiopathogenesis of tumors between on the eyelid margin and around the punctum.
Keywords : Lid mass; Lid tumor; Peripunctal mass; Peripunctal tumor


June 2019, 18 (2)