Original Article

Primary Malignant Tumors of the Eyelids


  • Arzu Taşkıran Çömez
  • Levent Akçay
  • Ömer Kamil Doğan

Received Date: 27.04.2012 Accepted Date: 30.07.2012 Turk J Ophthalmol 2012;42(6):412-417


To evaluate the clinical and histopathological features of primary malignant tumors of the eyelids as well as the results of the surgical procedures performed.

Material and Method:

Fifty-one patients, who had lesions proven to be malignant by histopathological examination, were retrospectively evaluated for age, localization, clinical and histopathological diagnosis, surgical technique, perioperative and postoperative complications.


Of 51 patients, twenty three (45%) were male and 28 (55%) were female with a mean age of 62.5 (range: 35-80) years. The histopathological results of the excisional biopsy materials revealed basal cell carcinoma (BCC) in 38 (74.5%), squamous cell carcinoma (SCC) in 10 (19.6%), malignant melanoma (MM) in 1 (1.96%), sebaceous gland carcinoma (SGC) in 1 (1.96%), and non-Hodgkin lymphoma (NHL) in 1 (1.96%) patient. In 76.5% (n=39) of the eyelid malignancies, histopathological examination results were in concordance with the clinical diagnosis. In 9 (17.6%) cases, residual tumour cells were detected. The recurrence rate in all cases was 3.92%, while it was 2.63% for BCC and 10% for SCC.


BCC and SCC were the most common tumors in the eyelids. Surgical excision and histopathological evaluation are the best diagnostic and treatment procedure if a proper selection of the patients is done. (Turk J Ophthalmol 2012; 42: 412-7)

Keywords: Eyelid, tumor, malignant, carcinoma, lesion, histopathology, surgery, flap

Full Text (Turkish)