SURGICAL TREATMENT IN A CASE OF LOWER EYELID BASAL CEL CARCINOMA INVOLVING THE CILIARY MARGIN

Abstract

Basal cell carcinoma is the most common eyelid malignancy most often located on the lower eyelid and the medial canthus. We report the case of an 85-year-old patient who presented with a vegetative and ulcerative tumor in the middle 1/3 of the lower eyelid involving the ciliary margin that occurred 2 years earlier. Surgical excision of the tumor within the oncologic safety limits, reconstruction of the tarsoconjunctival plane with a pedicle flap from the upper eyelid and reconstruction of the cutaneous defect with a free skin graft from the retroauricular region were performed (Hughes technique). Anatomic pathology diagnosis of solid basal cell carcinoma was made by routine morphological methods. Eyelid basal cell carcinoma being a slow-growing tumor that causes lesions by direct extension and rarely metastasizes, early diagnosis and appropriate surgical treatment are essential for preventing invasion of adjacent structures

Keywords

• Basal cell carcinoma
• eyelid
• treatment
• Hughes technique