Rianti Soediro Suryo Tumor & Reconstruction UnitCicendo Eye Hospital Bandung

Rianti Soediro Suryo

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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