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Ophthalmology for the Oncologist



Lid Lump


Causes include:

Benign Lid Cyst

    • commonest cause
    • associated redness / warmth may be present at start
    • may leave a residual round lump (chalazion)



  • Rhabdomyosarcoma
    • up to 50% present with lid lump / ptosis
    • can mimic a chalazion
    • Leukaemia / Lymphoma
      • usually with orbital infiltration
      • or lacrimal gland infiltration
    • Metastases
      • rare
      • usually orbital involvement
    • Lacrimal Gland tumour
      • rare


Clinical Tip :


Any recurrent lid cysts should be sent to ophthalmologist for biopsy.


Rhabdomyosarcoma can present with purely a lid cyst with redness and inflammation while leukaemia can relapse in the form of a lid mass


The picture below was taken of a 6 year old with known Acute Lymphoblastic Leukaemia who presented with this lid lump.

It is a benign lid lump related to blockage of a Meibomian gland with infection.



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