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  • karlwhittaker@devoneyesurgeon.co.uk
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Tumour Types

Premalignant Tumours

Premalignant disease is increasingly common with age, particularly in fair-skinned individuals. Lesions include:
  • Actinic keratosis
  • Bowens disease
  • Lentigo maligna
  • This term, otherwise known as ‘solar keratosis’, describes sun damage of the superficial layers of the skin, which can progress to squamous cell carcinoma. It often appears as a scaly, crusty growth on the skin surface.

  • It appears as a slow growing red, scaly patch of skin. It is sometimes referred to as ‘squamous cell carcinoma in situ’ and is caused by the abnormal growth of cells called keratinocytes. These are cells in the outer layer of the skin (epidermis). About 4 % of these lesions progress to squamous cell carcinoma
.

  • This is a slowly spreading superficial skin pigmentation, which converts to invasive melanoma in about a third of patients.

Malignant Tumours

The vast majority (accounting for over 90% of cases) of malignant tumours affecting the eyelids are basal cell carcinomas; they are often referred to as BCCs or rodent ulcers. This is a cancer of the basal cells, found at the bottom of the epidermis (the top layer of your skin).

BCCs grow very slowly and have virtually never spread to other parts of the body. Over several months or years, an increase in size may cause them to distort or destroy the normal shape of the eyelid. Therefore, it is important that they are removed early.

Squamous Cell Carcinoma

The next most common malignant tumour of the eyeids is a squamous cell carcinoma, or SCC. It is a cancer of the squamous cells at the base of the epidermis. They are slow growing, red, scaly lesions which can bleed and have a low potential for metastasis to other parts of the body.

Melanoma

Melanoma accounts for a small proportion of cancers around the eyelids. However, they can be aggressive and do metastasise.

It is a cancer of the melanocyte cells, which produce the brown pigmentation of the skin including freckles, moles and a suntan.

Melanomas can develop in normal skin or in a pre-existing mole. Suspicious changes include an increase in size or change in shape, darkening colour, itching, bleeding or surrounding inflammation.

Eyelid Tumor Links

  • Eyelid Tumour Overview
  • Tumour Types
  • Eyelid Tumour Treatment
  • Eyelid Tumour Post-operative Care
  • Frequently Asked Questions

About Mr. Karl Whittaker

I graduated from Birmingham University in 1992, and have been an Eye Specialist for almost 20 years.

Following my Ophthalmology Specialist Training, I completed two Fellowships (advanced training) in glaucoma, working with the world-renowned Professor Anthony Molteno in New Zealand and Professor Peter Shah in Birmingham. Thereafter, I undertook a Fellowship in oculoplastic/lacrimal surgery, again in Birmingham. As a result, I am dual-qualified, which allows me to perform a wide range of ophthalmic procedures.

I have been a Consultant Ophthalmic Surgeon at the North Devon Healthcare NHS Trust since 2003. In this role, I perform high volume cataract surgery and am the Clinical Lead for the Glaucoma and Oculoplastic/Lacrimal Surgery services.

Practice Location

  • Ophthalmology Department
  • Level 1
  • North Devon District Hospital
  • Barnstaple
  • EX31 4JB

Tel: 07503751349 | 01271 349128
Email: karlwhittaker@devoneyesurgeon.co.uk

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