Retrospectiv study on Eyelid Tumors

Abstract

Introduction: Skin cancer is on of the most often found tumor. About 80-85% of all skin cancers are localized on the face. And out of these about 70% are eyelid tumors. Eyelid tumors are and will be a very actual problem, because of: the increase of life expectancy; a high rate of preexisting lesions due to ultraviolet radiation, ionized radiation, micro traumas and the low rate of treatment of such lesions; there are many difficulties linked to reestablish the functions of the eyelids. Purpose: The goal of the study is to research retrospectively the cases of Eyelid Tumors, highlighting the addressability of the patients, the frequency of certain histological forms, the treatment methods. Objectives: to determine the addressability in patients; to determine if there are any tendencies of prevalence; to observe any relationship of dependence between the criteria used in the study. Methods and materials: In the study 70 patients were analyzed, they had the diagnosis of Eyelid Tumor confirmed not only clinical, but histological as well. With the age between 2 months and 80 years old, which in the period of 2007-2011 were treated in “Ovisus” Clinic. Results: I studied 70 patient files: 35 files stationary and 35 ambulatory. In 2007 there were 17 cases (24,30 %), in 2008-16 (22,85 %), in 2009-18(25,70 %), in 2010-11(15,70 %), in 2011-8(11,45 %); The addressability (the period of time from the clinical onset to the first visit to the doctor). During the period of 0-1 year 44 (62,85 %),2 and more-26(37,15 %); Age groups: 0-19 years-7(10 %),20-39-14(20 %), 40- 59y-32(45,70 % ),60-80y-17(24,30 %); In the urban area-44 cases (65,15 %),in the rural area-26(34,85 %); In 65 cases (92,85 %) the process is benign; In 66 cases (94,30%) the treatment was surgical and in 4 cases (5,7%)-crio application. Conclusions: We could say that the addressability of 62,85% for the period until 1 year is a good index, that shows that the patients are well instructed medically and alerted by the appearance of a tumor and they address early to the doctor. In almost half of the cases (45,70%) the Eyelid Tumors are found in the age group 40-59 years, this tells us that this is the risk group, which means that the polyetiologic theory is more correct (the interaction of the factors of aggression and the inefficient measures of protection). The repartition of the patients according to the living area shows us that in 44 cases (65,15%) the dominating area is urban, this may be due to the fact that in the urban area the level of the pollution is higher and the quality of the ecological estate is much poorer.