Plastic Surgery

Eyelid Cancers


Growths and skin changes are commonly identified by your ophthalmologist. At the Wheaton Eye Clinic, Dr. Pak serves as a referral center for many individuals with eyelid lesions.

Symptoms

A “bump” or lesion on the eyelid that demonstrates growth, bleeding or crusting should be evaluated by an oculoplastic surgeon.

Causes

As a result of sun damage and aging, skin lesions can develop which require medical evaluation. At times, the exposure of sun and the aging process can influence the development of skin cancers. There are several types of skin cancers that can develop on the eyelids:

Basal Cell Carcinoma

A common type of eyelid skin cancer is basal cell carcinoma. This type of cancer has various appearances but typically grows at a relatively slow rate. Basal cell carcinoma can occur anywhere on the eyelid and 70% develop on the lower eyelid. In general, the lesions are solitary, elevated lesions that can bleed intermittently.

Squamous Cell Carcinoma, Sebaceous Cell Carcinoma and Melanoma

The eyelid can develop other non-basal cell carcinomas such as melanoma, sebaceous cell carcinoma and squamous cell carcinoma. Collectively, these occur less frequently compared to basal cell carcinoma, however, they have a greater ability to metastasize and spread. Due to the aggressiveness of these tumors, it is important to seek medical attention for eyelid “bumps” or lesions.

Treatment Options

During the initial evaluation, Dr. Pak will examine the lesion on the eyelid and determine the ensuing appropriate steps. Typically, this involves measuring and photographing the lesions. If necessary, a biopsy of the lesion will be performed on a subsequent office visit. If a biopsy is performed, the lesion is sent to a pathologist, a physician trained at evaluating microscopic tissue, and the results will be available in several days. Our office will contact you once the result of the biopsy has been completed by the pathologist.

Skin cancer needs to be removed surgically by a skilled surgeon who can not only remove the tumor, but reconstruct the eyelid or periorbital (surrounding eye region) area to regain excellent aesthetic and functional qualities. Generally, Dr. Pak teams with an expert dermatologist specializing in skin cancer and Mohs surgery to treat skin cancer. An oculoplastic surgeon is the optimal professional to repair defects of the delicate eyelid caused by cancer.

Additional Information

The surgical coordinators of the Wheaton Eye Clinic will coordinate your care with a dermatologist. Furthermore, they will provide a specific set of dates to complete the entire reconstructive process.

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