Malignant Eyelid Tumors in Northeast Thailand: A Ten-Year Review at Srinagarind Hospital, Khon Kaen
Paitoon Pratipanawat MD1, Wipada Laovirojjanakul MD1
Affiliation : 1 Department of Ophthalmology, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, Thailand
Objective : To determine the frequency and clinical characteristics of patients with malignant eyelid tumors at Srinagarind Hospital
between January 2000 and January 2017.
Materials and Methods : This retrospective descriptive analysis was conducted by review medical record. A computerized retrieval
system was used to identify all patients whose surgical pathologic results diagnosed as malignant eyelid tumors between January
2000 and January 2017. The patient’s medical records, including the patient’s gender, age of presentation, and underlying disease
were collected. Tumor locations, histopathologic results, treatments, and time of recurrences were recorded.
Results : One hundred twenty-six patients that had one tumor each, were studied. There were more malignant tumors in female.
The median age of presentation was 67.0 years, whereas the mean age was 65.6 years (range 28 to 96 years). Tumors developed
most commonly on the lower eyelid (n = 56; 44.4%) and less on the upper eyelid (n = 40; 31.7%). Of the 126 malignant tumors,
75 were basal cell carcinomas (59.5%, 95% CI 50.9 to 68.1), 25 were squamous cell carcinomas (19.8%), and 15 were sebaceous
gland carcinomas (11.9%). The clinical accuracy in predicting eyelid malignancy was 65.9%. Only 26.2% of patients had more than
a one-year follow-up and no patient had more than (cid:976)ive years of follow-up.
Conclusion : Basal cell carcinoma was the most common malignant eyelid tumor in Northeast Thailand. The frequency of sebaceous
gland carcinoma in the present region was signi(cid:976)icantly more than the previous studies in a Caucasian population.
Keywords : Eye, Eyelid, Malignant, Tumor
