Annals of Optometry and Contact Lens 2019;18(2):41-45.
Published online June 25, 2019.
안쪽 눈꺼풀테 종양과 눈물점 주위 종양의 임상양상 비교
이승현, 유혜린
차의과대학교 분당차병원 안과학교실
The Clinical Features of the Tumor on the Lid Margin at Medial Side versus the Tumor around the Punctum
Seunghyun Lee, Helen Lew
Department of Ophthalmology, CHA Bundang Medical Center, Seongnam, Korea
Received: 10 May 2019   • Revised: 29 May 2019   • Accepted: 29 May 2019
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.
Key Words: Lid mass; Lid tumor; Peripunctal mass; Peripunctal tumor
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