Condition: Eyelid lumps and bumps 2017-10-13T15:57:30+00:00

Eyelid lumps and bumps Overview

Talk to us about your current condition on:
020 7935 7990

The best way to figure out whether your specific condition can be treated or not is to give us a call. We can answer any questions you have and help you clarify which treatment options might be suitable for you.

There are different treatment options available for this condition and the most common ones are listed below:

  • Histopathological analysis

  • Full and ocular reconstruction

  • Radiotherapy or chemotherapy

Learn more about treatment options

Eyelid lumps and bumps

What are Eyelid lumps and bumps?

Eyelid lesions (eyelid lumps and bumps) are very common and can be benign or malignant. Eyelid lesions which form a little eyelid mass, are all called eyelid tumours. Biopsy is required for the definitive diagnosis as to whether they are benign or malignant. There are five main types of benign tumours and five main types of malignant tumours. There are also rarer tumours.

Types of tumours

  • Benign tumours
    • Pigmented lesions
    • Benign epithelial tumours
    • Pre-cancerous epithelial tumours
    • Adnexal and cystic tumours
    • Xanthelasma
  • Malignant tumours
    • Basal cell carcinoma
    • Squamous cell carcinoma
    • Sebaceous gland carcinoma
    • Melanoma
    • Lymphoma

Video: What are the treatment options for lumps and bumps?

Examination for Eyelid lumps and bumps

Benign tumours, even though benign, often require removal and therefore must be examined carefully and the differential diagnosis of a malignant eyelid tumour considered and the method of removal planned. The lesion is examined with respect to its size, shape, colour, level in the eyelid, mobility, tethering and tenderness. The peri-orbital area is examined for additional lesions.

If a malignant tumour is suspected, full medical examination is performed and the oculoplastic surgeon works together with the dermatologist, oncologist and head and neck surgeon.

More about the different types of tumours

Benign:

Pigmented lesions

The most common type of pigmented lesion is a naevus which is usually a soft brown elevated eyelid lesion, with a low potential for growth or malignant transformation. If the naevus is an intradermal type it can be removed for cosmetic reasons, but if it is a compound type (and it is difficult to tell clinically) then it should be removed because of its malignant potential. Therefore it is best to remove all pigmented lesions around the eyelids whilst they are small. A lentigo maligna is a flat pigmented lesion which is brown or black and a proportion of these undergo malignant transformation, therefore patients with this should be kept under observation and biopsies performed.

Benign epithelial tumours

These are small lumps which arise from the uppermost layer of cells in the skin, such as a pedunculated skin tag, which is also known as a squamous papilloma and is very common. Some benign epithelial tumours are pre-cancerous, such as actinic keratosis or a lesion with a cutaneous horn. Seborrhoeic keratosis is another common skin lesion on the eyelids which is soft, well circumscribed, raised and either black or brown in colour and fortunately is benign. However, it can sometimes be difficult to distinguish it from other lesions and again a biopsy is recommended. Keratoacanthoma is a benign lesion in most cases but can contain parts of it which are a squamous cell carcinoma, particularly if it does not go away spontaneously over a couple of months. The treatment is surgical excision.

Pre-cancerous epithelial tumours

The main pre-cancerous epithelial tumour is actinic keratosis which appears as flat scaly lesions, sometimes lightly pigmented. These can undergo transformation to squamous cell carcinoma and should be cared for vigilantly, with biopy if suspicious for malignancy.

Adnexal and Cystic tumours

These include small tumours of the sebaceous glands, the sweat glands, the hair follicles etc. They have to be removed entirely either for cosmetic reasons, or because patients fear that there may be a cancer. These are very common and appear rounded and often yellow or white coloured. If they occur near the tear duct they have to be removed very carefully under magnification.

Xanthelasma

Xanthelasma are intadermal and subdermal deposits of lipid which occur in older patients and may occasionally be associated with high cholesterol. Therefore the oculoplastic surgeon will evaluate the lipid levels. They can be removed surgically or treated with Trichlor acetic acid.

Malignant tumours:

A basal cell carcinoma

This is the most common eyelid malignancy occurring frequently on the lower lid or medial canthus and occasionally on the upper lid and lateral canthus. It is sun related and occurs with older age but younger patients are increasingly being found with small basal cell carcinomas. See basal cell carcinoma.

Squamous cell carcinoma

This is the second most common eyelid tumour but is only about a tenth as frequent as a basal cell carcinoma in Europe and North America. It can either appear as a small elevated, red, ulcerated lesion or as a rapid progressing tumour which spreads. It may, if particularly aggressive, metastasise to lymph nodes in the neck. It may also grow onto the conjunctival surface of the eyelid, or indeed arise from the conjunctival surface of the eyelid, particularly in immuno compromised patients. Surgical excision is essential.

Sebaceous gland carcinoma

This only forms about 1% of malignant eyelid tumours but is a serious tumour which may behave aggressively and spread. This tumour often presents as an enlarging mass and there may be a history of previous treatment for a chalazia. It is called a mimicking tumour, as it may mimmick other more benign lesions of the eyelid, such as chalazia. The oculoplastic surgeon always has a high degree of suspicion for a sebaceous cell carcinoma if a chalazion has been treated surgically but has not gone away.

Malignant melanoma

This can occur on the eyelids, either primary or in a previous lentigos maligna. Biopsy should be done to confirm the diagnosis, followed by a wide exicision. More modern treatments and monitoring of spread with sentinel node biopsy are increasingly becoming available.

Lymphoma

Lymphoma can occur on the eyelid but more commonly on the under surface of the eyelid where it is seen as a salmon coloured, soft, fleshy elevation in the conjunctival fornix of the eye. Treatment is often non-surgical.

Treatment for Eyelid lumps and bumps

The majority of small lumps and bumps around the eyelids are benign and can be easily removed in their entirety. However, even a benign looking lump can be a tumour masquerading as benign and the cells have to be analysed under the microscope to exclude a malignant tumour (histopathological analysis).

The treatment of eyelid lesions depends on the diagnosis which is obtained by biopsy. Benign eyelid lesions are excised in full and ocular reconstruction performed using direct closure, flaps or grafts.

Malignant tumours may require adjuvant treatment with either radiotherapy or chemotherapy after excision, depending on their diagnosis.

Surgery of eyelid lumps and bumps can frequently be done under local anaesthetic, with the surgeon assisted by magnification, in the form of surgical loops worn on spectacles, in order to place very fine stitches which are almost invisible.

The result of the histological analysis (examination of the cells) is usually available within a week.

What our patients say

“Dr Jane Olver was fantastic! She was so caring and sweet and it was clear that she knew what she was doing – very professional! I am absolutely over the moon with my results now!”
TONI C. - REALSELF REVIEWS
“If you have a similar problem, Jane Olver is your woman – I wish I had found her at the start. I will be forever grateful for her care and expertise.”
Nancy W.
“Just wanted to thank you for your exceptional assistance with my eye condition. I was so worried but you really helped me feel at ease.”
David T.
“Thank you for your help during the year”
Julia S.
“Just a quick note for saying thanks for looking after my Mum so wonderfully as she was very worried about the appointment and you really made such a big difference to the experience.”
Sven K.
“Thank you very much for seeing me yesterday, you were marvellous and a pride to the NHS”
Mariah P.
“From the moment I met her to the moment I left, I was treated with great courtesy and kindness, and everything was explained to me in layman’s terms so I could fully understand my condition. I was immensely impressed.”
Paul
“Many thanks to Mr Khan. His prompt diagnosis and explanation was very reassuring indeed.”
Heather M.
“Just keep up the good work Dr Khan. My wife, who accompanied me, and I were both very impressed by the care and consideration shown by the whole team when I had surgery. I just hope they haven’t lost the knack by the time I get my other eye fixed. joking apart the care of this team has made it a wonderful experience for me.”
David S.
“Dearest Brian, Merry Christmas and a Happy New Year! Competent, sensitive doctors like you are the prize of the medical profession! I am so grateful that my experience was so positive. Love you Olga from Estonia”
Olga
“Dear Mr. Leatherbarrow and the Staff at Clinica London, Just a little not to say thank you very much for the great work you did to my eyes and the treatment I received. I am delighted with the results. Kind regards, Alexia M.”
Alexia M.
“Dear Professor Michel Michaelides , Thank you very much for your letter of the 4th September 2012. Ths means so very much to myself and Victor, during this terrible stressful time. Ever sind my first consultation with you, the caring dedication and understanding I have received from you has been priceless. Thank you with all my heart. Wishing you a healthy and happy future. Yours sincerely Doreen S.”
Doreen S.
“Dear Dr. Michaelides, I just wanted to express mine and my parents gratitude for arranging to see us all today and taking the time to answer all our questions. We left with a much greater understanding of the issues involved with genetic testing, the potential pattern of inheritance I have, and a renewed optimism over advances that could be happening in the field. It was also very helpful and reassuring to see Dr Amar again and be introduced to Jonathan the genetic counsellor – please do pass on our thanks to them as well. Yours sincerely Rachael S.”
Rachael S.
“Dear Professor Michaelides ,
Well done and thank you! You saw me last November for my annual RP assessment. You recommended to see the Glaucoma unit which I duly attended last week. (There was a delay because I had a cataract op in February)I do indeed have glaucoma as well as RP. Thankfully glaucoma is likely to be treatable with drops, so now at last the deterioration in my sight may be least partially arrested. I hope you will recommend to the retinal team that all RP suffers are tested for Glaucoma at fitting intervals. Yours sincerely, Edmund S.”
Edmund S.
“Dear Professor Michaelides ,
On behalf of my mother as well as myself, I would like to thank you for the consultation we had with you last Friday regarding my Usher Type 2/ RP condition. The knowledge and advice you shared with us was much appreciated. Today I received copy of the letter which you sent to my GP as record of the consultation. You might recall I mentioned that I have and indoor cycling frame which is great for an ex-road cyclist. If you should have any other patients who have to give up cycling on the road, I can recommend the “e-motion rollers” which is an American product and allows cyclists to ride their actual bike without modifications – suitable only for road bikes with high tyre pressure. Kind regards, Chris B.”
Chris B.
“Thank you for this, it’s nice to know you got the information you needed and were treated with respect. The team at Clinica London are good and the key thing, as you say, is seeing someone with the speciality in retinal degeneration. David “
David
“Dear Michel, My wife and I wish to thank you for your kindness and attention with regard to my poor eyesight. Your caring attitude and honest approach to help relieve my problem and find the best solution is overwhelming. And it is with this in mind we would like to express our sincere thanks for everything you have done for me. Kind regards, Maurice K”
Maurice K.
“Mr. Reddy was extremely kind and his special ‘duck’ noises certainly helped catch Talia’s attention and helped his examination run smoothly. Mr. Reddy informed us that Talia’s squint was severe and that glasses would not help her. He explained that she would need surgery. We have recently seen Mr. Reddy and the Orthoptist for a follow up and everyone involved is really pleased with the results of the surgery, most of all it seems is Talia.”
Rebecca and Daniel Corney
“What I loved most was her willingness to take my knowledge of my disease and experience into consideration. I am very impressed and feel lucky to be in her care.”
Fiona M.
“Dr Crawley is always in such a good mood and always does her utmost to help. Best doctor I have ever seen!”
Matthew K.
“Dr Crawley has a wonderful manner, is clearly knowledgeable and is an asset to the hospital.”
Lisa A.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
“Dear Jane,
I just wanted to say thank you for seeing me at such short notice. I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.
I would also like to thank Ingrid, who was so lovely and very professional.
Best wishes, Catherine M.”
Catherine M.
“Thank you for forwarding the medical report. Please convey my thanks to Jane, I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon. Jeffrey W.”
Jeffrey W.
“I highly recommend Jane Olver. The whole experience was calm,and highly professional..”
Lorraine M.

“Dear Both,

Many thanks for taking care of my ptosis surgery today.
I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.

Many thanks, Charmaine”

Charmaine

The Highest Quality

We are accredited with the major private health and professional specialty bodies who have bestowed upon us the qualifications to carry out aesthetic and medical treatments at the highest levels of quality.