What Is an Eyelid Cyst?

The most common sites are the eyelids of the eyebrows, especially the condyles, which are retention cysts of the sebaceous or hair follicle glands. Its surface is smooth, and it is a benign subcutaneous benign tumor that adheres to the skin. The top of the tumor has sebaceous gland openings, and waxy plugs are often found here. The contents of the cyst include epithelial cells, keratin (keratin), fat particles, cholesterol crystals, etc. The cyst itself is surrounded by a thick epithelial layer to isolate it from surrounding tissues. It can be asymptomatic for a long period of time, and sometimes it can grow very large, such as trauma can cause inflammatory changes. Individual may be calcified or malignant.

Eyelid tumor

Most (80%) eyelid tumors are benign, such as moles, macular tumors, cysts, granulomas, and hemangiomas. A small percentage (20%) are malignant tumors, such as basal cell carcinoma, sebaceous adenocarcinoma, malignant melanoma, and metastatic tumors. The cause of eyelid malignant tumors is not very clear. But there is a malignant tumor called "basal cell carcinoma" that is related to long-term exposure to sunlight. Older people also have a greater chance of developing malignancies.

- Eyelid Tumors Eyelid Tumors-Type

sebaceous cyst Eyelid tumor sebaceous cyst

The most common sites are the eyelids of the eyebrows, especially the condyles, which are retention cysts of the sebaceous or hair follicle glands. Its surface is smooth, and it is a benign subcutaneous benign tumor that adheres to the skin. The top of the tumor has sebaceous gland openings, and waxy plugs are often found here. The contents of the cyst include epithelial cells, keratin (keratin), fat particles, cholesterol crystals, etc. The cyst itself is surrounded by a thick epithelial layer to isolate it from surrounding tissues. It can be asymptomatic for a long period of time, and sometimes it can be very large. Individual may be calcified or malignant.

Treatment: surgical removal.

(dermoid cyst) Dermoid cyst of eyelid tumor

It is a new type of congenital skin-like organism. Due to the abnormal development of the embryonic stage, the ectodermal leaves are partially broken and buried under the skin or conjunctival tissue. Prone to occur in the inside or outside of the eyelid, the site of occurrence is related to the orbital bone suture, often originating from this type of bone suture. Can also occur in the arch, orbit and conjunctiva. The shape is round or oval, different sizes, generally not larger than walnut, soft, and when the sac has a large tension, the hardness increases like a tumor. There is a connective tissue envelope around the cyst. The surface is smooth, the realm is clear, and it is slightly elastic. Generally it does not adhere to the skin, but it often adheres to the periosteum. It is easy to find early because of congenital ones. Sometimes combined with congenital abnormalities such as eyelid defects and deformities.

Histologically, a typical cyst is covered with a layer of connective tissue cysts, and the epidermal tissue faces the cystic cavity. The two contain inadequate skin appendages such as hair follicles, French glands, sebaceous glands, blood vessels, etc., sometimes mixed with cartilage, muscle, nerve. There are sebaceous gland-like substances, keratinizing substances, cholesterol, hair, necrotic cells, etc. in the capsule cavity, and there may be calcification. It is not easy to distinguish between clinical and epidermoid cysts. However, the two are completely different in pathological tissues. The epidermoid cyst has no skin attachment in the cyst wall, and only keratinizing and fatty substances in the cyst cavity, and no hair.

- Eyelid tumor eyelid tumor-treatment

For surgical removal, those with deeper cysts sometimes adhere to the meninges, so care should be taken not to injure the meninges during surgical removal.

Recipe for prescription:

Prescription:

Bamboo root 120g, silver flower 9g, forsythia 9g, soap thorn 9g. Take 1 dose daily and fry twice a minute.

Efficacy: Many cases were treated according to this prescription, and the effect was significant. One case was cured for 2.5 months.

Chansu ointment: 10g of Chansu Ointment, dissolved in 30ml of cleaning solution, plus 40g of Sulfonamide ointment, formulated with 20% Chansu Ointment for external application, usually for 3 days, the cancer tissue began to fall off, and it basically healed in about 18 days.

Efficacy: A hospital used this recipe to cure 13 cases of skin cancer.

Remedy

Camphor milk powder: 30g of camphor, 10g of frankincense. The ground powder is made into paste with small sesame oil and applied to the affected area once a day.

Hedyotis diffusa 30g, Prunella vulgaris 30g. 30g of astragalus, 15g of fleas, 10g of pangolin, 10g of licorice. Shuijianbi, 2 times daily.

basal cell carcinoma Eyelid tumor basal cell carcinoma

It is a more common type of skin cancer, with an incidence of 50% of eyelid malignancies, and it is more common in the elderly. The lesions start from basal cells on the surface of the eyelid skin and can also occur from skin accessories such as hair follicles. Mostly in the lower eyelid condylar tarsal transition, that is, the junction of skin and mucosa. The typical early ones were translucent pearl-like nodule-like bulges, with small fossa in the center, which were generally flesh-red, and some contained pigments similar to moles. The texture is stiff, surrounded by varicose blood vessels, which looks like papillary cancer and warts. Generally, the growth level is slow, painless, and gradually spreads around. After weeks or months, the central ulceration forms superficial ulcers, and the edges of the ulcers are not uniform like silkworm-like ulcers, so they are also called ulcus rodens. The ulcer is characterized by a raised edge, a hard texture, and a roll-in (incubation period). This is due to the downward growth of the squamous epithelium at the edge of the ulcer. Ulcers are often attached to the scalp, which is easy to bleed. The ulcers generally develop to the plane, but can also erode deep. Late cases can damage the eyelids, back of the nose, face, orbits, and eyeballs and lose vision. Basal cell carcinoma generally does not cause distant metastasis, but if it is not handled properly, it can develop rapidly. It is easily misdiagnosed as squamous cell carcinoma or malignant melanoma.

treatment:

Surgical treatment: Early patients can be completely removed by surgery.

Radiation therapy: Basal cell carcinoma is sensitive to radiation therapy and can be used for tumors that are far from the edge of the eyelid and small in area, or a combination of the two therapies.

Cryotherapy: for those with a small tumor area.

Hematoporphyrin derivatives-laser photodynamic therapy: good results.

Immunotherapy: local injection of cytokines, TIL, and LAK cells, with good results. The tumor is large, and it can be surgically removed and given local treatment at the same time.

squamous cell carcinoma Eyelid tumor squamous cell carcinoma

It is a malignant tumor of skin epidermal cells. The incidence is about 8% of eyelid malignancies. More common in the elderly at 50 years old. More men than women. Occurs in the skin spinal cell layer at the junction of the eyelid skin and conjunctiva. It starts to be nodular and is very similar to basal cell carcinoma, but it is rich in keratin. With the development of the tumor, pain can occur, especially when the tumor invades the superior or inferior orbital nerve.

Squamous cell carcinoma can be divided into two types clinically:

Ulcer type: The bottom of the ulcer is hard, congested, deeper, uneven, the edge rises, and even valgus, sometimes in the shape of a crater. Cauliflower-like or papillary: The tumor develops toward the surface and can be very large. The surface is cauliflower-like or papillary. If there is a ulcerated infection on the surface, there is a fishy smell.

Squamous cell carcinoma is more malignant than basal cell carcinoma, grows faster, and has a wide range of damage, which can damage the eyelids, eyeballs, orbits, sinuses, and face. It is usually easy to transfer to nearby tissues along the lymphatic tissue, such as the preauricular and submandibular lymph nodes and even the whole body. This is how it differs from basal cell carcinoma.

treatment:

Surgery: Extensive, complete resection.

Radiation therapy: Not as sensitive to radiation therapy as basal cell carcinoma. Generally combined with radiation therapy after surgical resection. If the tumor area is too large, radiation therapy can be performed first to reduce the tumor tissue and facilitate surgical resection.

Chemotherapy: It is commonly used for phosomycin, and can also be used in combination with surgical radiation therapy.

Hematoporphyrin derivatives-laser photodynamic therapy with good results.

Immunotherapy: Same as basal cell carcinoma.

Cryotherapy: Freezing with liquid nitrogen, the range should be more than 4 to 5 millimeters across the tumor edge, every 2 to 5 minutes, every 2 to 3 days.

Eyelid tumor meibomian adenocarcinoma

Sebaceotis gland carcinoma accounts for the second place in China for malignant eyelid tumors. Occurs in middle-aged and elderly women. The sebaceous glands most commonly originate from the meibomian glands and eyelashes. The upper eyelid accounts for about 2/3 of cases.

[Clinical manifestations] At the beginning, it is a tough nodule in the eyelid, which is similar to the sacral swelling, and gradually increases in the future. The meibomian plate is diffusely thickened. Masses can quickly form ulcers. If it starts from the sebaceous glands, it is a small yellow nodule at the edge of the eyelid. The superficial skin of the meibomian gland carcinoma is often normal. Clinically, the initial lesions are often misdiagnosed as zygomatic swollen, and treated as a zygomatic swollen, so it is easy to relapse. The disease has a high degree of malignancy, and lymph nodes in the ear may have metastases.

[Treatment] For surgical resection, check whether there is no tumor at the resection margin to avoid recurrence. Death rate is about 14%