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WHAT CAUSES EYELID SKIN CANCER?
Excessive exposure to sunlight is the single most
important factor associated with skin cancers
on the face, eyelids and arms. Fair-skinned people
develop skin cancers far more frequently than
dark-skinned people. Skin cancers may also be
hereditary.
WHAT ARE THE TYPES OF EYELID SKIN CANCER?
• Basal cell carcinoma (BCC)
• Squamous cell carcinoma (SCC)
These are the most common types of skin cancers,
which enlarge locally and usually do not spread
(metastasize) to distant parts of the body. However,
with time, if not completely removed, either type
will invade adjacent structures.
These types are also slow growing. Thus, when
detected early and treated in a prompt and appropriate
manner, there is a better chance of removing the
tumour completely and minimizing the amount of
tissue affected by the carcinoma.
• Sebaceous gland carcinoma
• Malignant melanoma
These are more serious forms of skin cancer because
they may metastasize. These types of skin cancer
require prompt, aggressive treatment because of
the threat of early spread.
HOW ARE EYELID SKIN CANCERS TREATED?
Treatment of any type of skin cancer must typically
follow two principles of management. The first
is complete excision of the lesion, and the second
is reconstructive surgery.
Complete removal of the tumour is critical to
minimize the possibility of recurrence, which
is even more difficult to manage. The specimen
is sent to pathology to ensure that the entire
tumour has been excised.
Once the tumour has been removed, reconstructive
surgery is usually necessary to make a new eyelid
or repair the defect. Occasionally, the wound
can heal on its own in a process called 'granulation'.
Dr Martin will specifically tailor the operation
to the defect that is present following removal
of the tumour.
WHAT CAN I EXPECT FOLLOWING SURGERY?
Some discomfort may be experienced and swelling
and bruising may also be present. This will usually
resolve within 2-3 weeks. As each case is different,
please ask Dr Martin about the post-operative
results that you should expect for your condition.
Sutures will also be present and these will need
removing about a week following the surgery.
Any form of therapy for eyelid skin cancer will
leave a scar. However, Dr Martin will always make
an effort to minimize scarring and obtain optimal
cosmetic results. After surgery, the healing process
may take several weeks or months. Once the wound
has healed, follow-up appointments with Dr Martin
are necessary to ensure the skin cancer does not
recur. Should there be development of a new cancer,
it can then be detected early and treated promptly.
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