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TUMORS OF THE EYE

Dept of OphthalmologyMargono Soekarjo General Hospital

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TUMORS OF THE EYE

TUMORS OF THE EYELIDS

CONJUNCTIVAL TUMORS

INTRAOCULAR TUMORS ORBITAL TUMORS

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TUMORS OF THE EYELIDS

BENIGN LID TUMORS

NEVUS

PAPILLOMAS MOLLUSCUM CONTAGIOSUM

XANTHELASMA

HEMANGIOMA

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NEVUS

Congenital

Rarely become

malignant

Tx: surg excision

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PAPILLOMAS

2 TYPE :

Squamous

papilloma

Basal cell papilloma

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MOLLUSCUM CONTAGIOSUM

TYPICAL LESION :

a small, flat,

symmetric,

centrally

umbilicated

Tx: cautery, excision

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XANTHELASMA

Lipid deposit in

histiocytes in

the

dermis of the lid

Tx: surg excision

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HEMANGIOMA

CAPILLARY HEMANGIOMA

. composedproliferating

capillaries andendhothelial cells

. grow rapidly at orshortly after birth

(90% < 6 months)

. regress spontaneously

over 6-7 yr

. Tx: no treatment,corticosteroid inj,

cryotherapy

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CAVERNOUS HEMANGIOMA

. Composed of large

endothelium-lined

vascular channels with smooth muscles in

their wall

. Grow slowly

. Women > Men

. Loc : muscle cone proptosis, hyperopia

. Regressspontaneously (-)

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PRIMARY MALIGNANT TUMORS

OF THE LIDS

CARCINOMA

. Basal Cell Ca . Squamous Cell Ca

MALIGNANT MELANOMA

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BASAL CELL CARCINOMA

Grow slowly

Painless

Nodule or ulcer Local invasive

Metastase (-)

95% of lid cancer Tx: surg excision,

radiotherapy

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SQUAMOUS CELL CARCINOMA

Grow slowly

Painless

Hyperkeratoticnodule

Local invasive

Metastase (+)

Tx: surg excision,radiotherapy,

chemotherapy

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MALIGNANT MELANOMA

Similar to those

elsewhere in

the skin

Not all malignant

melanomas are

pigmented

Tx: surg excision

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CONJUNCTIVAL TUMORS

PRIMARY BENIGN TUMORS OF THE

CONJUNCTIVA

NEVUS

DERMOID TUMOR

DERMOLIPOMA ANGIOMA

PRIMARY MALIGNANT TUMORS OF

THE BULBAR CONJUNCTIVA

CARCINOMA CONJUNCTIVAL DYSPLASIA

MALIGNANT MELANOMA

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NEVUS

1/3 of cases

lack of pigment

1/3 of casescystic

Rarely become

malignant

> 3rd decadehigh

risk to malignant

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DERMOID TUMOR

A smooth,

rounded, yellow

elevated mass, hairprotruding

Loc :

inferotemporal Tx: surg excision

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DERMOLIPOMA

A smoothly

rounded

Loc : temporalquadrant of the

bulbar conjunctiva

Tx: surg excision

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ANGIOMA

Isolated,

circumscribed

capillaryhemangioma

Pyogenic

granuloma

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CARCINOMA

Loc: limbus,

palpebral

fissura A gelatinous

surface

Invasion (-) Metastase (-)

Tx: surg excision

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CONJUNCTIVAL DYSPLASIA

Intermediate

between

conj dysplasiaand

malignant ca in

situ

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MALIGNANT MELANOMA

Arise from a

preexisting

nevus

Tx: excision,

cryotherapy,

exenteration

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INTRAOCULAR TUMORS

RETINOBLASTOMA

2/3 of cases appear < 3rd year

30% bilateralinherited

Chromosome band 13q14

Grow endophytic or exophytic, optic nerve

Sign : leucocoria, strabismus, inflammation

Metastase (+) Tx: enucleation, exenteration,radiotherapy,

chemotherapy

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RETINOBLASTOMA

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ORBITAL TUMORS

PRIMARY ORBITAL TUMORS

CAPILLARY HEMANGIOMA

CAVERNOUS HEMANGIOMA RHABDOMYOSARCOMA

LACRIMAL GLAND TUMORS

METASTATIC TUMORS

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RHABDOMYOSARCOMA

Presentation < 10 yr

Rapid growth

Destroy adjacentbone

and spread intothe brain

Tx: chemotherapy, radiotherapy,

exenteration

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