[Pathology in the diagnosis and treatment of palpebral tumors].
The authors stress the role and place of pathology in the diagnosis and treatment of eyelid tumors. After a brief report on the main histological characteristics of eyelid tumors and their classification, the pathological methods are described, with particular attention paid to the technical aspects of frozen sections in palpebral surgery.


OBJECTIVE
This study reports the main pathological techniques available for use in eyelid tumor surgery. The advantages of frozen sections are reported from a retrospective study of basal-cell carcinomas of the eyelid.


METHODS
All basal-cell carcinomas treated at the Reims Hospital from 1985 to 1999 were retrospectively studied. The pathological aspects are reported. Most of the tumors (155/193) were examined with frozen sections. Recurrences are considered.


CONCLUSIONS
Pathology in eyelid tumor surgery must be taken into consideration. Frozen section examination may eliminate recurrences and limit healthy tissue taken at resection. This method is a very useful tool in this type of surgery. The benefits of the classic Mohs technique can be completed by a technique that is more precisely adapted to the control of the lateral limits of the excision in reconstructions which are often complex.
Pluot
M
M
Laboratoire d'Anatomie et de Cytologie Pathologiques, CHR de Reims.
Ducasse
A
A
D018266:Adenocarcinoma, Sebaceous / Q000175:diagnosis; D001706:Biopsy; D002280:Basal Cell Carcinoma / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis; D003937:Diagnosis, Differential; D005142:Eyelid Neoplasms / Q000145:classification / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D005143:Eyelids / Q000473:pathology; D005260:Female; D005629:Frozen Sections; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000517:prevention & control; D012189:Retrospective Studies; D012626:Sebaceous Gland Neoplasms / Q000175:diagnosis