Eyelid tumors have been extensively reviewed in white patients, but the results do not conform to our observations in the Indian population. The records of the Ophthalmoplasty and Ocular Pathology services were reviewed from 1982 to 1992 for all lid tumors seen. A total of 313 lid tumors had been seen, of which 178 were malignant and 135 benign (Table). Among the malignant tumors, there was an almost equal incidence of sebaceous cell carcinomas (32.58%), basal cell carcinomas (29.77%), and squamous cell carcinomas (28.08%). The sex distribution was equal for both sebaceous cell and basal cell carcinomas. Males were relatively more often affected with squamous cell carcinoma (60%).
Analysis of 58 cases of sebaceous cell carcinoma showed that 34 patients (58.6%) had a nodule or a mass on the lid that did not involve the skin or conjunctiva. Sixteen (27.6%) were initially diagnosed as having chalazia. Conjunctival ulceration in association