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Regular Departments
August 10, 1964

Location of Lesion in Eyelid Carcinoma Called Key Consideration in Choice of Therapy

JAMA. 1964;189(6):35. doi:10.1001/jama.1964.03070060155049

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Abstract

Location of the lesion in eyelid carcinoma is the primary consideration in the choice of therapy, participants in the annual meeting of the American Dermatological Association last month in Maui, Hawaii, were told.

Anthony N. Domonkos, MD, of the department of dermatology, Columbia University College of Physicians and Surgeons, New York, reported on treatment of 240 patients with a total of 242 eyelid cancers.

He said that "Proper treatment of eyelid cancer cannot be categorically assigned to any one method, be it excision, electrodesiccation, combined electrodesiccation and radiation, or ionizing radiation alone."

Domonkos said contact x-ray therapy is the method of choice for epitheliomas situated at the canthi and at the margin of the eyelids, while simple excision is preferred for cancers on the eyelids not involving the canthi or the margins.

In his series of 242 patients, 135 (56%) of the epitheliomas were at the inner canthus, 79 (32%

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