Eyelid tumors in children over a 10-year period

Abstract

Introduction: Eyelid tumors in children are rare and, fortunately, mostly benign. Reconstruction after excision of these tumors is an extremely responsible procedure, considering the early age of the patient. Aim: To analyze the incidence and location of malignant and benign tumors in children up to 18 years of age over a period of 10 years. Materials and methods: We conducted a retrospective study of 29 eyes from a cohort of 450 eyes with tumors operated on in our clinic between 2010 and 2019. Of all tumors of the eye and adnexa, only tumors of the eyelids were considered. All tumors were histopathologically examined after their surgical removal. Results: Eyelid tumors in children account for 6.4% of the tumors studied in all age groups, and 0.2% of them are malignant. The ratio of women to men is 62% to 38%, with most of them residing in cities. The most common eyelid tumors in children are cysts (47%), followed by papillomas (17%) and nevi (10%). The distribution on the eyelid is as follows: medially located 31%, centrally 45% and temporally 24%. Conclusion: Eyelid tumors in children prefer the female sex. Malignant tumors of the eyelids are rare. The average size of tumors is about 4-6 mm. The duration of the disease directly correlates with the size of the tumor. For tumors of the lower eyelid, a doctor is consulted earlier than for tumors of the upper eyelid. Inflammatory reaction around the tumor is more common in the right eye.