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Cryo surgery for lid tumors.

Five cases of malignant lid tumors are presented. These include one case of basal cell carcinoma, two cases of meibomian cell carcinoma and two cases of squamous cell carcinoma. The cases in which the tumor was large in size (more than 10 mm diameter) were subjected to cryotherapy to be followed by surgery at a later date (2 cases). Cryotherapy alone was considered as an ideal therapy for tumors with a wide base situated at the lid margin. In cases with tumor size less than 10 mm or with a narrow base surgical excision with surgical repair of the defect produced good results. Cryotherapy should be considered favourably, as a modality for management of eyelid malig­nancies, either prior to surgery for large size tumors (more than 10 mm- diameter) or as a primary procedure for tumors with a wide base at the lid margin. For tumors less than 10 mm in size or tumors with narrow pedicle, surgical excision & repair is considered ideal.