Lid malignancies are abnormal growth found on the lids , it may be benign growth or malignant one .

2. Introduction

4. Basal cell carcinoma (BCC)

6. Frequency of location of basal cell carcinoma
Lower lid - 70% Medial canthus - 15%
Upper lid - 10% Lateral canthus - 5%

10. Histology of basal cell carcinoma
Downgrowth from epidermis
of small, dark atypical basal cells
Peripheral palisading
Cell nests in fibrous stroma

12. Squamous cell carcinoma

18. Prominent nuclei and
abundant acidophilic
cytoplasm
Variable sized groups of atypical
epithelial cells within dermis
Histology of squamous cell carcinoma
Keratin ‘pearl’( well defined tumors)

20. Keratoacanthoma

22. Actinic Keratosis

25. Sebaceous gland tumor

30. Histology of meibomian gland carcinoma
Lobules of cells with pale foamy vacuolated lipid-containing cytoplasm and large
hyperchromatic nuclei

32. Melanoma

39. Merkel Cell Carcinoma

43. Kaposi sarcoma
AdvancedEarly
Pink, red-violet lesion
• Vascular tumour occurring in patients with AIDS
• Usually associated with advanced disease
• Very sensitive to radiotherapy
May ulcerate and bleed

44. Xeroderma pigmentosum

45. Gorlin–Goltz syndrome

46. Muir–Torre syndrome

47. Treatment Options
• Cryotherapy
• Radiotherapy
Small BCC not involving medial
canthus
• Surgical excision
Method of choice
Small and superficial BCC
irrespective of location
Adjunct to surgery in selected cases
Kaposi sarcoma

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59. Thank you