Eyelid cancer may not be on everyone’s radar, but it’s a serious condition that can totally change a person’s life. It often presents with subtle signs that are easy to miss unless you know what you’re looking for. Recognizing the warning signs early on is key to getting treatment before it progresses. Today we answer the question, “What does eyelid skin cancer look like?” so you can spot the signs, take action, and protect your health.
Signs of Eyelid Cancer and What It Looks Like
Unlike some other eye issues, eyelid cancer can manifest in a few different ways. This can occasionally make early detection and recognition hard, making it important to understand even subtle signs.
The skin on the eyelids is thin and delicate, which makes it susceptible to sun damage and skin cancer. Furthermore, because of this location, even small cancerous growths can cause huge issues, including changes in eyelid function and vision impairment.
The most common type of eyelid cancer is basal cell carcinoma (BCC), which makes up the majority of cases. Other types of eyelid cancer include squamous cell carcinoma (SCC), sebaceous gland carcinoma, and melanoma, each presenting with its own distinct visual characteristics and differences.
Basal Cell Carcinoma (BCC) on the Eyelid
Basal cell carcinoma, as mentioned before, is the most commonly presenting type of eyelid cancer. It usually pops up as a shiny, pearly nodule with small blood vessels visible on the surface. Over time, it can ulcerate, turning into a red and painful sore. This sore eventually creates a central crater with raised edges. BCC has a slower growth rate but can and will invade surrounding tissues if left untreated.
Squamous Cell Carcinoma (SCC) on the Eyelid
Squamous cell carcinoma is more aggressive than BCC and often presents as a scaly, red patch or a crusty sore that does not heal. Unlike BCC, SCC has a higher risk of metastasizing or spreading to other parts of the body if not treated early by an eyelid surgeon.
Sebaceous Gland Carcinoma
Sebaceous gland carcinoma is a rarer, more aggressive form of eyelid cancer that arises from the oil-producing glands in the eyelid. It often mimics chronic blepharitis (eyelid inflammation) or a lingering style. A hallmark sign of sebaceous gland carcinoma is the thickening of the eyelid with yellowish, irregular nodules.
Melanoma of the Eyelid
Melanoma is the most dangerous type of skin cancer and can appear anywhere on the body, including the eyelids. It may present as a dark, irregularly shaped lesion that changes in size, color, or texture over time. Any pigmented growth on the eyelid that looks suspicious should be evaluated immediately.
Should you present with any of these symptoms, do not ignore them, especially if they last for several weeks! The earlier eyelid cancer is detected, the more effective future treatment can be.
When Should You See a Specialist?
If you notice any persistent growth, lesion, or unusual changes on or to your eyelids, you must consult with an oculoplastic surgeon who specializes in skin cancers. Early diagnosis through biopsy and medical imaging can make a huge difference in the outcome of your treatment.
Individuals at higher risk, including those with fairer skin, prolonged sun exposure or use of tanning beds, or a history of skin cancer, should pay particularly close attention when it comes to monitoring their eyelids for any unusual changes.
Treatment Options for Eyelid Cancer
Once diagnosed, treatment for eyelid cancer depends mainly on its type, size, and where it is located on the eyelid. The most common approaches include:
- Mohs micrographic surgery – A precise technique that removes cancerous tissue layer by layer while preserving as much healthy skin as possible.
- Excisional surgery – Complete removal of the tumor with a margin of healthy tissue.
- Cryotherapy (freezing the cancer cells) – Used for certain small or superficial cancers.
- Radiation therapy – Applied in cases where surgery is not an option.
- Reconstructive surgery – Performed to restore eyelid function and appearance following tumor removal.
How You Can Reduce Your Risk of Eyelid Cancer
- Wear UV-blocking sunglasses that cover the eyelid area.
- Apply broad-spectrum sunscreen, even on your eyelids.
- Use a wide-brimmed hat when outdoors.
- Avoid prolonged sun exposure.
- Get regular skin checks from a dermatologist or an eyelid specialist.
Schedule an Eyelid Cancer Evaluation Today
If you’ve noticed any unusual growth or changes to your eyelid, don’t wait! Remember, the earlier it is caught, the better your outcome. Reach out to our office at OC Oculoplastic today to receive a complete evaluation and expert care for your eye health.