RESUMO
ABSTRACT: Eyelid malignancies are frequently seen in clinical practice. There is a lack of studies that have assessed the features of these lesions in mixed population countries. The epidemiologic profile, clinical stage at presentation, management, and outcomes of patients with eyelid malignancies were assessed, in order to better understand the features of these lesions in a multi-ethnic country. The medical records of patients who underwent eyelid tumor excision in a tertiary service in Brazil, from 2014 to 2019 were retrospectively reviewed. It was recorded for each patient: age, gender, time of onset, location, diagnosis, management, and follow-up. The medical records of 298 patients who presented with eyelid tumors were evaluated and 67 (22.4%) were malignant. The mean age of patients with malignancies was 52.93âyears and 50% were male. Basal cell carcinoma was the most prevalent (61.2%), followed by squamous cell carcinoma (SCC) (29.9%) and sebaceous gland carcinoma (3%). The average time it took from appearance to surgical treatment was 3âyears; the lower eyelid was the most affected for both basal cell carcinoma and SCC; 70% of SCCs were locally invasive at presentation and metastasis occurred in 15%. Basal cell carcinoma was the most common eyelid malignancy observed, however, its frequency was lower when compared to other western countries. The advanced stage at presentation may reflect the lack of education of the population to seek early care, and the lack of specialized tertiary centers in remote areas, resulting in delayed diagnosis.
Assuntos
Carcinoma Basocelular , Neoplasias Palpebrais , Neoplasias das Glândulas Sebáceas , Neoplasias Cutâneas , Carcinoma Basocelular/epidemiologia , Neoplasias Palpebrais/epidemiologia , Neoplasias Palpebrais/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosAssuntos
Humanos , Neoplasias Palpebrais/cirurgia , Neoplasias Orbitárias/cirurgia , Órbita/lesões , Angiografia , Doenças Orbitárias/diagnóstico , Olho Artificial , Órbita/anatomia & histologia , Órbita/cirurgia , Cuidados Pós-Operatórios , Complicações Pós-Operatórias , Cuidados Pré-Operatórios , Retalhos Cirúrgicos , Tomografia Computadorizada por Raios XRESUMO
A ptose palpebral é uma entidade exclusivamente cirúrgica e o seu sucesso depende de uma minuciosa e cuidadosa semiologia. Quando há funçäo do elevador de pelo menos 4 mms, há indicaçäo para uma ressecçäo combinada com uma plástica de pele afim de näo haver excesso da mesma e se criar um sulco palpebral. Se näo houver pelo menos 4 mms de funçäo ao músculo frontal, combinada com a plástica da pele