tumors of the eye i
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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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