Clinical features and management of eyelid margin nevi.
| Autor: | Custer PL; Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO, USA., Council ML; Department of Medicine (Dermatology), Washington University School of Medicine, St. Louis, MO, USA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Orbit (Amsterdam, Netherlands) [Orbit] 2024 Feb; Vol. 43 (1), pp. 8-15. Date of Electronic Publication: 2023 Jan 23. |
| DOI: | 10.1080/01676830.2023.2169717 |
| Abstrakt: | Purpose: Acquired melanocytic nevi are common eyelid lesions; however, their clinical presentation is not well documented. Methods: In this retrospective study, clinical records were reviewed in patients evaluated between 2005 and 2022. Results: Eyelid margin nevi ( n = 150) were more commonly excised in female (78%) and Caucasian (86%) patients. Change in appearance/size were frequent presenting complaints, and 17% experienced ocular symptoms. Referring diagnosis included other benign lesions (11.3%), and concern for malignancy (16.7%). Many individuals (38.7%) noted their lesion for ≤5 years. Nevi were distributed across the 4 margins (9% peripunctal), and 88% had a regular base. Visible pigmentation was more common in non-Caucasians (95.2%) than Caucasians (41.1%). Lashes grew through 60.7% of nevi and were often misdirected.Nevi were treated with superficial excision and cauterization. Histologic subtypes included: dermal (86.6%), compound (9.4%), blue (2.7%), junctional (0.7%), lentiginous dysplastic (0.7%). An irregular base ( p =0.042) and pigmentation ( p =0.056) were more common in compound than dermal nevi. Lash line quality and appearance were improved in the majority of patients returning for follow-up, although postoperative trichiasis, marginal erythema, and residual pigmentation were observed. Conclusions: Melanocytic nevi commonly involve the eyelid margins and have a variety of presentations and appearances. Existing nevi can change, and new lesions appear throughout adulthood. Stable, benign appearing nevi can be observed. Shave excision provides a diagnosis and improved appearance for symptomatic or suspicious lesions, with few serious complications. Malignant transformation is rare, although evidence for recurrence warrants further evaluation. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|