Clinicopathological analysis of 5146 eyelid tumours and tumour-like lesions in an eye centre in South China, 2000–2018: a retrospective cohort study

ObjectivesTo describe the clinicopathological characteristics of patients with eyelid tumours and tumour-like lesions in South China, investigate possible factors affecting tumour constitution.DesignRetrospective cohort study.SettingAll patients diagnosed with eyelid tumours were included from a hig...

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Published in:BMJ open 2021-01, Vol.11 (1), p.e041854-e041854
Main Authors: Wang, Linyan, Shan, Yi, Dai, Xizhe, You, Na, Shao, Ji, Pan, Xiangji, Gao, Tao, Ye, Juan
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Language:English
Subjects:
Age
Carcinoma, Basal Cell
China - epidemiology
Classification
Cohort analysis
dermatological epidemiology
Epidemiology
Eye cancer
Eyelid Neoplasms - epidemiology
Female
Females
Head & neck cancer
Humans
Lymphoma
Male
Males
Melanoma
Ophthalmology
pathology
Patients
Regression analysis
Retrospective Studies
Skin cancer
Skin Neoplasms
Sociodemographics
Trends
Tumors
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Shan, Yi
Dai, Xizhe
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Pan, Xiangji
Gao, Tao
Ye, Juan
description ObjectivesTo describe the clinicopathological characteristics of patients with eyelid tumours and tumour-like lesions in South China, investigate possible factors affecting tumour constitution.DesignRetrospective cohort study.SettingAll patients diagnosed with eyelid tumours were included from a high-volume tertiary eye care centre from South China which caring for over 2000 patients per day. All biopsied specimens were reviewed by two senior pathologists and were classified according to the fourth edition of the WHO Classification of Skin Tumours.ParticipantA total of 5146 cases of eyelid lesions were reviewed from 2000 to 2018, being classified by histogenesis and pathologic diagnosis, being compared with data from previous literature containing different races.Main outcome measuresAge-specific and gender-specific incidence constitutions, time trends, tumour location, distribution in different age groups and relationship with Sociodmographic Index (SDI) were calculated.ResultsBenign tumours accounted for 85.08% (4378) of all cases, among which, nevus was most common (33.07%). Eight of top 10 benign lesions had higher occurrence in upper eyelids. The R² value of linear regression in patient annual number of benign lesions were 0.946 (p
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All biopsied specimens were reviewed by two senior pathologists and were classified according to the fourth edition of the WHO Classification of Skin Tumours.ParticipantA total of 5146 cases of eyelid lesions were reviewed from 2000 to 2018, being classified by histogenesis and pathologic diagnosis, being compared with data from previous literature containing different races.Main outcome measuresAge-specific and gender-specific incidence constitutions, time trends, tumour location, distribution in different age groups and relationship with Sociodmographic Index (SDI) were calculated.ResultsBenign tumours accounted for 85.08% (4378) of all cases, among which, nevus was most common (33.07%). Eight of top 10 benign lesions had higher occurrence in upper eyelids. The R² value of linear regression in patient annual number of benign lesions were 0.946 (p&lt;0.01) for male and 0.914 (p&lt;0.01) for female. More than 33.60% (1471/4378) were made up by patients younger than 40 years. The number of patients undergoing removal of benign lesions decreased with age. Among the malignant lesions, basal cell carcinoma (BCC) was most prevalent (48.70%), followed by sebaceous gland carcinoma (34.24%) and majority (81.8%) occurred in patients above 60 years.ConclusionsOver the past 19 years, most eyelid tumours occurred at our centre were benign lesions. The number of patients presenting with benign lesions increased in both genders, especially among young females who were more likely to request surgeries. Among malignant lesions, BCC remains the most common type, appears a higher incidence in countries with higher SDI.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2020-041854</identifier><identifier>PMID: 33500284</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Age ; Carcinoma, Basal Cell ; China - epidemiology ; Classification ; Cohort analysis ; dermatological epidemiology ; Epidemiology ; Eye cancer ; Eyelid Neoplasms - epidemiology ; Female ; Females ; Head &amp; neck cancer ; Humans ; Lymphoma ; Male ; Males ; Melanoma ; Ophthalmology ; pathology ; Patients ; Regression analysis ; Retrospective Studies ; Skin cancer ; Skin Neoplasms ; Sociodemographics ; Trends ; Tumors</subject><ispartof>BMJ open, 2021-01, Vol.11 (1), p.e041854-e041854</ispartof><rights>Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b578t-7119e6ed955cb9b52c9b197a602b6ce10321555189c36ce1221abc2eabb4d1d13</citedby><cites>FETCH-LOGICAL-b578t-7119e6ed955cb9b52c9b197a602b6ce10321555189c36ce1221abc2eabb4d1d13</cites><orcidid>0000-0002-1948-2500 ; 0000-0002-1116-6191 ; 0000-0001-8316-6994</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2480965100/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2480965100?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>112,113,230,314,727,780,784,885,3194,25753,27549,27550,27924,27925,37012,37013,44590,53791,53793,55341,55350,75126,77594,77595,77596,77597,77601,77632,77660,77686</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33500284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Linyan</creatorcontrib><creatorcontrib>Shan, Yi</creatorcontrib><creatorcontrib>Dai, Xizhe</creatorcontrib><creatorcontrib>You, Na</creatorcontrib><creatorcontrib>Shao, Ji</creatorcontrib><creatorcontrib>Pan, Xiangji</creatorcontrib><creatorcontrib>Gao, Tao</creatorcontrib><creatorcontrib>Ye, Juan</creatorcontrib><title>Clinicopathological analysis of 5146 eyelid tumours and tumour-like lesions in an eye centre in South China, 2000–2018: a retrospective cohort study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><addtitle>BMJ Open</addtitle><description>ObjectivesTo describe the clinicopathological characteristics of patients with eyelid tumours and tumour-like lesions in South China, investigate possible factors affecting tumour constitution.DesignRetrospective cohort study.SettingAll patients diagnosed with eyelid tumours were included from a high-volume tertiary eye care centre from South China which caring for over 2000 patients per day. All biopsied specimens were reviewed by two senior pathologists and were classified according to the fourth edition of the WHO Classification of Skin Tumours.ParticipantA total of 5146 cases of eyelid lesions were reviewed from 2000 to 2018, being classified by histogenesis and pathologic diagnosis, being compared with data from previous literature containing different races.Main outcome measuresAge-specific and gender-specific incidence constitutions, time trends, tumour location, distribution in different age groups and relationship with Sociodmographic Index (SDI) were calculated.ResultsBenign tumours accounted for 85.08% (4378) of all cases, among which, nevus was most common (33.07%). Eight of top 10 benign lesions had higher occurrence in upper eyelids. The R² value of linear regression in patient annual number of benign lesions were 0.946 (p&lt;0.01) for male and 0.914 (p&lt;0.01) for female. More than 33.60% (1471/4378) were made up by patients younger than 40 years. The number of patients undergoing removal of benign lesions decreased with age. Among the malignant lesions, basal cell carcinoma (BCC) was most prevalent (48.70%), followed by sebaceous gland carcinoma (34.24%) and majority (81.8%) occurred in patients above 60 years.ConclusionsOver the past 19 years, most eyelid tumours occurred at our centre were benign lesions. The number of patients presenting with benign lesions increased in both genders, especially among young females who were more likely to request surgeries. Among malignant lesions, BCC remains the most common type, appears a higher incidence in countries with higher SDI.</description><subject>Age</subject><subject>Carcinoma, Basal Cell</subject><subject>China - epidemiology</subject><subject>Classification</subject><subject>Cohort analysis</subject><subject>dermatological epidemiology</subject><subject>Epidemiology</subject><subject>Eye cancer</subject><subject>Eyelid Neoplasms - epidemiology</subject><subject>Female</subject><subject>Females</subject><subject>Head &amp; neck cancer</subject><subject>Humans</subject><subject>Lymphoma</subject><subject>Male</subject><subject>Males</subject><subject>Melanoma</subject><subject>Ophthalmology</subject><subject>pathology</subject><subject>Patients</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Skin cancer</subject><subject>Skin Neoplasms</subject><subject>Sociodemographics</subject><subject>Trends</subject><subject>Tumors</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNUsuKFDEULURxhnG-QJCAGxfWTN6VciFI42NgwIW6Dkkq1Z02XWmT1EDv_AfBD_RLTHX1tDMuxGyS3HvO4T5OVT1F8AIhwi_1Zh22dqgxxLCGFAlGH1SnGFJac8jYwzvvk-o8pTUsh7KWMfy4OiGEQYgFPa1-LrwbnAlblVfBh6UzygM1KL9LLoHQA4YoB3ZnvetAHjdhjKnkb9-1d18t8Da5MCTghpKawMDYIUc7BT6FMa_AYuUG9RLgUsSv7z8wROIVUCDaHEPaWpPdTeGEVYgZpDx2uyfVo175ZM8P91n15d3bz4sP9fXH91eLN9e1Zo3IdYNQa7ntSltGt5ph02rUNopDrLmxCBKMGGNItIZMf4yR0gZbpTXtUIfIWXU163ZBreU2uo2KOxmUk_tAiEupYnbGW6mbXkDMaOETqjVRbW8ExwIKxrnpadF6PWttR72x3X4Eyt8TvZ8Z3Eouw41sBGlbxIvAi4NADN9Gm7LcuGSs92qwYUwSU4E4JaKZ6n7-F3RdtlHWtkfBljMEYUGRGWXKmFO0_bEYBOVkI3mwkZxsJGcbFdazu30cObemKYCLGVDY_6l4-YdwLPRfjN-TUeOU</recordid><startdate>20210126</startdate><enddate>20210126</enddate><creator>Wang, Linyan</creator><creator>Shan, Yi</creator><creator>Dai, Xizhe</creator><creator>You, Na</creator><creator>Shao, Ji</creator><creator>Pan, Xiangji</creator><creator>Gao, Tao</creator><creator>Ye, Juan</creator><general>British Medical Journal Publishing Group</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1948-2500</orcidid><orcidid>https://orcid.org/0000-0002-1116-6191</orcidid><orcidid>https://orcid.org/0000-0001-8316-6994</orcidid></search><sort><creationdate>20210126</creationdate><title>Clinicopathological analysis of 5146 eyelid tumours and tumour-like lesions in an eye centre in South China, 2000–2018: a retrospective cohort study</title><author>Wang, Linyan ; Shan, Yi ; Dai, Xizhe ; You, Na ; Shao, Ji ; Pan, Xiangji ; Gao, Tao ; Ye, Juan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b578t-7119e6ed955cb9b52c9b197a602b6ce10321555189c36ce1221abc2eabb4d1d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Carcinoma, Basal Cell</topic><topic>China - epidemiology</topic><topic>Classification</topic><topic>Cohort analysis</topic><topic>dermatological epidemiology</topic><topic>Epidemiology</topic><topic>Eye cancer</topic><topic>Eyelid Neoplasms - epidemiology</topic><topic>Female</topic><topic>Females</topic><topic>Head &amp; neck cancer</topic><topic>Humans</topic><topic>Lymphoma</topic><topic>Male</topic><topic>Males</topic><topic>Melanoma</topic><topic>Ophthalmology</topic><topic>pathology</topic><topic>Patients</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Skin cancer</topic><topic>Skin Neoplasms</topic><topic>Sociodemographics</topic><topic>Trends</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Linyan</creatorcontrib><creatorcontrib>Shan, Yi</creatorcontrib><creatorcontrib>Dai, Xizhe</creatorcontrib><creatorcontrib>You, Na</creatorcontrib><creatorcontrib>Shao, Ji</creatorcontrib><creatorcontrib>Pan, Xiangji</creatorcontrib><creatorcontrib>Gao, Tao</creatorcontrib><creatorcontrib>Ye, Juan</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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All biopsied specimens were reviewed by two senior pathologists and were classified according to the fourth edition of the WHO Classification of Skin Tumours.ParticipantA total of 5146 cases of eyelid lesions were reviewed from 2000 to 2018, being classified by histogenesis and pathologic diagnosis, being compared with data from previous literature containing different races.Main outcome measuresAge-specific and gender-specific incidence constitutions, time trends, tumour location, distribution in different age groups and relationship with Sociodmographic Index (SDI) were calculated.ResultsBenign tumours accounted for 85.08% (4378) of all cases, among which, nevus was most common (33.07%). Eight of top 10 benign lesions had higher occurrence in upper eyelids. The R² value of linear regression in patient annual number of benign lesions were 0.946 (p&lt;0.01) for male and 0.914 (p&lt;0.01) for female. More than 33.60% (1471/4378) were made up by patients younger than 40 years. The number of patients undergoing removal of benign lesions decreased with age. Among the malignant lesions, basal cell carcinoma (BCC) was most prevalent (48.70%), followed by sebaceous gland carcinoma (34.24%) and majority (81.8%) occurred in patients above 60 years.ConclusionsOver the past 19 years, most eyelid tumours occurred at our centre were benign lesions. The number of patients presenting with benign lesions increased in both genders, especially among young females who were more likely to request surgeries. Among malignant lesions, BCC remains the most common type, appears a higher incidence in countries with higher SDI.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>33500284</pmid><doi>10.1136/bmjopen-2020-041854</doi><orcidid>https://orcid.org/0000-0002-1948-2500</orcidid><orcidid>https://orcid.org/0000-0002-1116-6191</orcidid><orcidid>https://orcid.org/0000-0001-8316-6994</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Carcinoma, Basal Cell
China - epidemiology
Classification
Cohort analysis
dermatological epidemiology
Epidemiology
Eye cancer
Eyelid Neoplasms - epidemiology
Female
Females
Head & neck cancer
Humans
Lymphoma
Male
Males
Melanoma
Ophthalmology
pathology
Patients
Regression analysis
Retrospective Studies
Skin cancer
Skin Neoplasms
Sociodemographics
Trends
Tumors
title Clinicopathological analysis of 5146 eyelid tumours and tumour-like lesions in an eye centre in South China, 2000–2018: a retrospective cohort study
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