Shades of concern-pigmented basal cell carcinoma of the eyelid
A 74 year old female, presented with brownish mass over right lower eyelid since 4-5 months, which was insidious in onset, gradually increasing in size, painless in nature, not causing any other ocular complaint. On ophthalmic examination, a 10 × 8 mm indurated, nontender lesion was noted on the med...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Clinical Ophthalmology and Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcor.jcor_129_24 |
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| Summary: | A 74 year old female, presented with brownish mass over right lower eyelid since 4-5 months, which was insidious in onset, gradually increasing in size, painless in nature, not causing any other ocular complaint. On ophthalmic examination, a 10 × 8 mm indurated, nontender lesion was noted on the medial side of the right lower eyelid, 6 mm away from the punctum. The lesion had well defined borders, pearly raised rolled margins, central ulceration, fine telangiectatic vessels underneath with loss of lashes. With confirmation of Pigmented nodular variant of Basal Cell Carcinoma (BCC) from histopathology reports taken from Incision biopsy, patient was planned for Right Eye pentagonal full thickness excision of mass with 4 mm wide clear margin with Tarso-conjunctival graft taken from ipsilateral upper eyelid with skin advancement flap from cheek. Surgical excision is the commonest treatment modality for periocular BCCs and is considered reliable and effective. Completeness of tumor excision is important as recurrences are more aggressive and carry a less favorable prognosis. |
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| ISSN: | 2320-3897 2320-3900 |