Skin Cancer Awareness Month: Eyelid Malignancy
May marks Skin Cancer Awareness Month, making it the ideal time to highlight a less commonly discussed—but equally serious—type of skin cancer: eyelid malignancy. While many associate skin cancer with the arms, face, or back, the thin, delicate skin around the eyes is just as vulnerable to UV damage.
If left untreated, eyelid skin cancer can lead to vision problems, disfigurement, or even life-threatening complications. Do you know the warning signs?
What Is Eyelid Malignancy?
Eyelid malignancies are cancerous growths that develop on or near the eyelid. Several types exist, each with its own appearance and level of severity:
- Basal Cell Carcinoma
The most common form, typically appears as a pearly or waxy bump that may bleed or crust. - Squamous Cell Carcinoma
More aggressive, often looks like a scaly, red patch or firm nodule. - Eyelid Melanoma
Though rare, this serious form often shows up as a dark, irregular spot. - Sebaceous Gland Carcinoma
Another rare but aggressive cancer, frequently misdiagnosed as a stye or persistent eyelid inflammation.
Signs to Watch For
Because of the eyelid’s proximity to the eye, early detection is critical. Look out for:
- New or changing growths on the eyelid
- Redness, irritation, or swelling that doesn’t resolve
- Sores that don’t heal, especially if they bleed, crust, or ooze
- Loss of eyelashes or changes in eyelid shape
Any of these symptoms should prompt a visit to a qualified specialist.
Diagnosis and Treatment
If you or your doctor suspects an eyelid malignancy, a biopsy is typically needed for confirmation. Treatment may involve:
- Surgical excision of the cancerous tissue
- Mohs micrographic surgery, which removes cancer layer by layer
- Reconstructive surgery to restore eyelid function and appearance
Working with an oculoplastic surgeon ensures that both medical and aesthetic outcomes are considered.
Protecting Your Eyes
Prevention is your first line of defense. Take these steps to lower your risk:
- Wear UV-protective sunglasses when outdoors
- Apply broad-spectrum SPF 30+ sunscreen around the eyes (choose formulas safe for this sensitive area)
- Schedule annual skin exams with a dermatologist—especially if you have a personal or family history of skin cancer
Be Proactive About Your Eye Health
If you’ve noticed any suspicious changes around your eyelids—or simply want a professional evaluation—don’t wait.
Book your appointment today with Kevin Perman, MD.
Your vision and your health are worth it.