Tumors of the eyelids may be benign cysts, inflammations (styes), or malignant tumors (skin cancers). The most common type of eyelid cancer is basal cell ...TheGarg-FingerStagingSystemforRetinaCapillaryHemangiomaPodcastsfromDr.Finger!SurgicalOphthalmicOncology:ACollaborativeOpenAccessReferenceisPublished!Dr.Finger’sInterviewwithTheAmericanSocietyofRetinaSpecialistsByPaulT.Finger,MDDescriptionTumorsoftheeyelidsmaybebenigncysts,inflammations(styes),ormalignanttumors(skincancers).Themostcommontypeofeyelidcancerisbasalcellcarcinoma.Mostbasalcellcarcinomascanberemovedwithsurgery.Ifleftuntreated,thesetumorscangrowaroundtheeyeandintotheorbit,sinusesandbrain.Othereyelidcancersincludesquamouscellcarcinoma,sebaceouscellcarcinoma,andmalignantmelanoma.Together,thesetumorsmakeuptheremaining10%ofeyelidmalignancies.SymptomsMostpatientswitheyelidtumorswillnoticeanodulargrowthontheireyelid.Thisgrowthcanbeskincolored,red,brownorblack.Malignanttumorsmaycauselossofeyelashesordistortthepositionoftheeyelid.Allpatientswitheyelidtumorsshouldbeevaluatedbyaneyecarespecialistwithexperienceinthecareofeyelidtumors.DiagnosisAsimplebiopsycandetermineifaneyelidtumorismalignant.TreatmentsMalignanttumorsarecompletelyremovedandtheeyelidisrepairedusingplasticsurgerytechniques.Somedoctorsarenowusingtopicalimmunotherapyorchemotherapyagentstoavoidsurgery.Dr.Fingercansometimeuse“Finger-tip”cryotherapy(freezing-therapy)orradiationtherapy,dependingontheextentofthetumor.AdditionalinfoATypicalWork-upforaSuspectedMalignantEyelidTumor:BiopsyMedicalWork-up(asindicated)Treatment(surgery,chemotherapy,immunotherapy,cryotherapy)ReconstructionasneededSurgeryforEyelidTumors:General:Thegoalshouldbetotalremovaloftheeyelidcancer.ThisusuallyinvolvesprimaryexcisionwitheitherfrozensectioncontrolortheMoh’stechnique.Smalltumorsareusuallyremovedbypentagonalwedgeresection.Medium-sizedtumorsoftenrequirereconstructionwithtranspositionalflaps(Tenzel,Mustarde,Glabellar).Large-tumorresectionsaretypicallyreconstructedwithHughes,Hewes