Basal cell carcinoma of eyelid

Abstract

Abstract A 55 year male patient presented with progressive growth over left lower eyelid measuring 1.5 x 1 cm. The local examination showed ulceroproliferative growth with irregular margins and everted edges. On histopathological examination diagnosed as basal cell carcinoma of lower eyelid. We are presenting this case for its clinical manifestations and histopathological findings. Keywords: Eyelid tumor, Basal cell carcinoma, Pigment. Introduction The prevalence of Basal Cell Carcinoma (BCC) is on rise and it is estimated that every year there is increase in cases by 10% and the lifetime risk or developing BCC is around 30%.[1][2]The various malignant tumours arising from eyelids were reported, BCC accounts for 80 -90% of all malignant lid tumours.[3] The tumours show high rate of recurrence which is mostly related to incomplete surgical resection and involves most of the eye socket and intracranial extension.[4],[5]Histopathological subtype plays an important role in progress of disease. In our case it showed nodular type of BCC. We have studied its clinical behavior and progress. Case Presentation A 55 year old male farmer by occupation presented to plastic surgery unit with complaint of growth over left eyelid of 6 month duration. The growth was measuring 1.5x 1cm with irregular margins, everted edges. The base was formed by a dark brown exudate with areas of blackish incrustation. The surrounding periorbital area shows swelling and oedema. No evidence of any palpable neck nodes. Wide excision of lower lid swelling was done and tissue was sent for histopathology examination. We received the excised specimen of ulceroproliferative growth of lower eye lid totally measuring 2.2 x 1.8x 0.6cm. The growth measured 1.7x 1x 0.4 cm which was grey white, firm. Areas of focal hemorrhages and blackish discoloration was noted (Fig. 1). The surgical margins appear free from growth. Microscopy showed epithelial neoplasm invading deeper tissue (Fig. 2) Th