Abstract
Abstract: :
Purpose: Moh’s micrographic surgery or frozen section is the most accurate method of cutaneous tumour excision, although clinical assessment alone is often used. We present our results from the correlation of periocular tumour excisions based on clinical evaluation alone, with the postoperative histopathological examination. Methods: Notes from 161 cases operated over a five–year period with adequate histology documentation are reviewed. In all cases the type and extend of tumour has been clinically assessed. Surgical excision included 3 mm tumour free margin followed by direct tissue reconstruction and routine pathology examination of the specimen. Tumour type and margin clearance are reviewed Results: One hundred thirty nine (86%) were complete excisions or excisional biopsies with 19 (12%) being incisional biopsies. Most specimens were periocular skin or full thickness lid 115 (71%) with 41 (25%) being conjunctiva. Most frequent diagnosis was BCC 49 (30%) followed by 23 (14%) nevus. Excision was complete in 141 (88%) of cases with the remaining required reoperation, cryotherapy or observation. Conclusions: Surgical excision based on the clinical impression with postoperative histopathological examination is a safe, reliable and accurate method of periocular tumour management. It reduces surgical time and minimises patient discomfort.
Keywords: eyelid • tumors