Rianti Soediro Suryo

Tumor & Reconstruction Unit

Cicendo Eye Hospital Bandung

Introduction
Eye Tumors can :
* Be live threatening
* Reduce vision
* Cause cosmetic
problems
30 Mei 2001

Rianti Soediro Suryo

Eye Tumor Classification

External : on palpebra, conjunctiva, cornea
and lacrimal sac.
Intraocular
Orbital
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Rianti Soediro Suryo

Benign External Eye Tumor

Dermoid cyst and dermoid tumor

Xanthelasma
Millium
Papilloma
Nevus
Verruca vulgaris = Common wart
Molluscum contagiosum
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Rianti Soediro Suryo

Malignant External Tumor

Carsinoma in situ
Basal cell carcinoma
Squamous cell carcinoma
Aquired melanosis
Lacrimal sac tumor
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Rianti Soediro Suryo

Intraocular Eye Tumor

1. Malignant melanoma.
2. Retinoblastoma.
3. Uveal metastatic tumor.

30 Mei 2001

Rianti Soediro Suryo

Orbital Tumor (1)

Hemangioma
Neurogenic Tumor :
* Optical nerve glioma
* Meningioma
* Neurofibroma
Rhabdomysarcoma
30 Mei 2001

Rianti Soediro Suryo

Orbital Tumor (2)

Lacrimal gland tumor : * Benign mixed
tumor
* Adenoid cystic
carcinoma
Metastatic tumor
Malignant lymphoma
Idiopathic orbital inflammatory desease
Dysthyroid ophthalmopathy
30 Mei 2001

Rianti Soediro Suryo

Dermoid Cysts
Congenital tumor
The tumor wall consists of dermis and
epidermis layer
Location : supero-temporal
Tumor palpation : firm, round, and smooth,
freely mobile under the skin.
T/ : In toto excision
30 Mei 2001

Rianti Soediro Suryo

Dermoid Cysts

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Rianti Soediro Suryo

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Dermoid Tumor
Congenital, located at the limbus
Consists of connective tissue with hair
follicles & sebaceus gland, walled by stratified squamous epithelium
Signs : solid, smooth, round, protruded
mass, whitish in colour
T/ : excision
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Rianti Soediro Suryo

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Dermoid Tumor

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Nevus = Benign Melanoma(1)

Consists of pigment stained cells
Observed in children, grows during puberty
with increase pigmentation
Nevus cells can be found in the :
* epidermis : Junctional nevus
* dermis : Compound nevus
* whole dermic layers : Intradermal nevus
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Rianti Soediro Suryo

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Nevus = Benign Melanoma(2)

Malignant degeneration can happen to
junctional & intradermal nevus
Signs : slightly elevated, pigment stained,
clearly defined lesion
T/ : Excision ; with following indications :
* cosmetic
* irritation
*
rapid tumors growth

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Nevus = Benign Melanoma

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Papilloma
Location : margo palpebra and limbus
Signs : tumor mass is cauliflower-like and
pedunculated
Large tumor size can resembles malignancy
Has regrowth tendency
Related to viral infection.
T/ : In toto excision.
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Verruca vulgaris
Not a true tumor
Etiology : viral
Shape : various
T/ : excision
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Molluscum Contagiosum
Etiology : a pox viral
Signs :
small, pale, waxy,
umbilicated nodule
T/ : excision

30 Mei 2001

Rianti Soediro Suryo

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Intraepithelial epithelioma =
Carsinoma in situ =
Bowen Desease
Location :
cornea, conjungtiva, palpebral skin
Age 60, particularly men
Signs : Diffuse lesion, elevated, hyperkeratotic nodule
T/ : In toto excision
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Carsinoma in situ

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Basal Cell Carsinoma

Known as Basal cell epithelioma

90% on eyelids
Age 50-55 y, particularly men
Signs : ulcerative small node, with elevated
border
Rarely cause metastasis

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Basal Cell Carsinoma: Therapy

Wide excision with 2 mm safety margin,
controlled by frozen section
Radiotherapy
Cryotherapy
Mohs Chemosurgery
Curetage and electrodessication
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Basal Cell Carsinoma

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