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Rianti Soediro Suryo Tumor & Reconstruction UnitCicendo Eye
Hospital Bandung
Rianti Soediro Suryo
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IntroductionEye Tumors can :* Be live threatening * Reduce
vision * Cause cosmetic problems
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Eye Tumor ClassificationExternal : on palpebra, conjunctiva,
cornea and lacrimal sac.
Intraocular
Orbital
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Benign External Eye TumorDermoid cyst and dermoid
tumorXanthelasmaMilliumPapillomaNevusVerruca vulgaris = Common
wartMolluscum contagiosum
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Malignant External TumorCarsinoma in situBasal cell carcinoma
Squamous cell carcinoma Aquired melanosis Lacrimal sac tumor
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Intraocular Eye Tumor1. Malignant melanoma.
2. Retinoblastoma.
3. Uveal metastatic tumor.
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Orbital Tumor (1)HemangiomaNeurogenic Tumor : * Optical nerve
glioma* Meningioma * Neurofibroma Rhabdomysarcoma
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Orbital Tumor (2)Lacrimal gland tumor : * Benign mixed tumor *
Adenoid cystic carcinomaMetastatic tumorMalignant
lymphomaIdiopathic orbital inflammatory deseaseDysthyroid
ophthalmopathy
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Dermoid CystsCongenital tumorThe tumor wall consists of dermis
and epidermis layerLocation : supero-temporal Tumor palpation :
firm, round, and smooth, freely mobile under the skin.T/ : In toto
excision
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Dermoid Cysts
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Dermoid TumorCongenital, located at the limbusConsists of
connective tissue with hair follicles & sebaceus gland, walled
by stra- tified squamous epitheliumSigns : solid, smooth, round,
protruded mass, whitish in colour T/ : excision
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Dermoid Tumor
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Nevus = Benign Melanoma(1)Consists of pigment stained
cellsObserved in children, grows during puberty with increase
pigmentationNevus cells can be found in the : * epidermis :
Junctional nevus * dermis : Compound nevus * whole dermic layers :
Intradermal nevus
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Nevus = Benign Melanoma(2)Malignant degeneration can happen to
junctional & intradermal nevusSigns : slightly elevated,
pigment stained, clearly defined lesionT/ : Excision ; with
following indications : * cosmetic* irritation* rapid tumors
growth
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Nevus = Benign Melanoma
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PapillomaLocation : margo palpebra and limbusSigns : tumor mass
is cauliflower-like and pedunculatedLarge tumor size can resembles
malignancyHas regrowth tendencyRelated to viral infection.T/ : In
toto excision.
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Verruca vulgarisNot a true tumorEtiology : viralShape : various
T/ : excision
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Molluscum Contagiosum
Etiology : a pox viral Signs : small, pale, waxy, umbilicated
noduleT/ : excision
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Intraepithelial epithelioma = Carsinoma in situ = Bowen
DeseaseLocation :cornea, conjungtiva, palpebral skinAge 60,
particularly menSigns : Diffuse lesion, elevated, hyper-keratotic
noduleT/ : In toto excision
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Carsinoma in situ
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Basal Cell CarsinomaKnown as Basal cell epithelioma90% on
eyelids Age 50-55 y, particularly menSigns : ulcerative small node,
with elevated borderRarely cause metastasis
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Basal Cell Carsinoma: TherapyWide excision with 2 mm safety
margin, controlled by frozen sectionRadiotherapyCryotherapyMohs
ChemosurgeryCuretage and electrodessication
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Basal Cell Carsinoma
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