Thursday, February 14, 2008

Eyelid skin cancer Treatment

The skin of the eyelids and the adjoining areas of the face may develop cancer Most commonly the cancer involves the lower lid but it may present in other regions such as the upper eyelid corners of the eye eyelid margins eyebrow skin or adjacent areas on the face Eyelid skin cancer is more common in the elderly Fairskinned people develop skin cancer more frequently Excessive exposure to sunlight is an important contributory factor to skin cancer Symptoms
Painless elevations or nodules on skin
Growing nodules or elevations
Nodules elevations or moles which become painful
Distorted or missing eyelashes
Ulceration along with bleeding crusting or distortion of the skin especially on preexisting nodules elevations or moles

All types of eyelid skin cancer may spread very slowly to other parts of the body If the tumor is detected early enough excision of the involved skin of the eyelid can cure the patient of the disease However if the treatment is delayed or is incomplete there is a chance that the cancer may spread to other parts of the body Excision of the eyelid cancer involves two principles removal of the affected area and reconstruction Removal involves cutting out the affected skin at times this means that the whole eyelid has to be sacrificed After removal of a cancerous growth a defect remains in the lid Repair of this defect is known as reconstruction The aim of reconstructive surgery is to reform an eyelid so that it functions properly that is it protects the eye preserves vision and restores normal appearance to the eyelids Biopsy confirms or rejects the clinical suspicion that the growth is cancerous If a tumor is large a piece of it is removed and sent to the pathologist to identify the type of cancer Using this piece of tissue information about the type of cancer and chances of its spread is ascertained The preferred treatment is then decided upon If the tumor is small it is resected fully and then sent to the pathologist Reconstructive surgery may require tissue grafting to compensate for the tissue loss that results after excision This graft is taken from any of the following regions the other eyelid of the same eye eyelid of the other eye or facial skin Excision of the tumor and reconstruction of the eyelid are usually done in the same operation In a few cases however further surgery may be required after to provide a cosmetically acceptable appearance to the eyelids A scar remains after eyelid surgery An effort is made to make the scar as minimal as possible Regular followup visits are essential to ensure that the eyelid tissue remains healthy If the tumor recurs it is identified and treated as soon as possible

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