关键词: Eyelid nevus blue nevus eyelid lesion peripunctal nevus

Mesh : Humans Female Adult Retrospective Studies Nevus / pathology surgery Nevus, Pigmented / surgery pathology Eyelid Neoplasms / surgery pathology Eyelids / surgery pathology Skin Neoplasms / surgery pathology

来  源:   DOI:10.1080/01676830.2023.2169717

Abstract:
UNASSIGNED: Acquired melanocytic nevi are common eyelid lesions; however, their clinical presentation is not well documented.
UNASSIGNED: In this retrospective study, clinical records were reviewed in patients evaluated between 2005 and 2022.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
未经证实:获得性黑素细胞痣是常见的眼睑病变;然而,他们的临床表现没有很好的记录.
未经评估:在这项回顾性研究中,我们回顾了2005年至2022年间评估的患者的临床记录.
未经证实:眼睑边缘痣(n=150)更常见于女性(78%)和高加索(86%)患者。外观/尺寸的变化经常提出投诉,17%的人出现眼部症状。参考诊断包括其他良性病变(11.3%),并关注恶性肿瘤(16.7%)。许多人(38.7%)注意到他们的病变≤5年。Nevi分布在4个边缘(9%点状),88%有固定基数。非白种人(95.2%)比白种人(41.1%)更常见可见的色素沉着。睫毛增长了60.7%的痣,并且经常被误导。痣采用浅层切除和烧灼治疗。组织学亚型包括:真皮(86.6%),化合物(9.4%),蓝色(2.7%),交界处(0.7%),浅色发育不良(0.7%)。与真皮痣相比,复方中不规则的基部(p=0.042)和色素沉着(p=0.056)更常见。多数回访患者的睫毛线质量和外观均得到改善,虽然术后倒车灯,边缘红斑,观察到残留的色素沉着。
UNASSIGNED:黑素细胞痣通常累及眼睑边缘,并具有多种表现和外观。现有的痣可以改变,新的病变出现在整个成年期。稳定,可以观察到良性出现痣。剃须切除术可为有症状或可疑病变提供诊断和改善外观,很少有严重的并发症。恶性转化是罕见的,虽然复发的证据值得进一步评估。
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