Eyelid tumours range from benign lesions such as cysts and papillomas to malignant skin cancers like basal cell carcinoma and sebaceous carcinoma.
Warning Signs
Features raising concern include rapid growth, irregular borders, loss of lashes, ulceration, bleeding, or recurrent crusting.
- Lesions that change colour, shape, or size should be assessed promptly.
- History of significant sun exposure or previous skin cancers increases risk.
- Benign lesions are often smooth, stable, and non‑tender.
- Persistent “chalazia” that do not respond to usual treatment may conceal malignancy.
Removal
Suspicious or symptomatic tumours are usually removed surgically, often with margin control and reconstruction by an oculoplastic surgeon.
- Biopsy confirms the diagnosis and guides any further treatment.
- Early excision of malignant lesions improves prognosis and reduces the extent of surgery needed.
- Benign lesions may be removed for irritation or cosmetic reasons.
- Regular follow‑up is important after malignant tumour treatment to detect recurrence.
