Abstract
The periocular skin is susceptible to numerous benign and malignant neoplasms. Malignant skin tumors of the periocular area are very particular; they can present differently, are rapidly aggressive and pose a real therapeutic challenge. Aggressive forms occur mostly in immunocompromised individuals. A complete destruction of the orbit is rare and the initial seat is most often the eyelid. We report the case of an immunocompetent 70-year-old patient with destruction of the entire orbital region including the eyeball secondary to the extension of squamous cell carcinoma of the internal canthus.
Highlights
The periocular area, composed of the upper and lower eyelids and the internal and external canthus, is the frequent site of several benign and malignant skin tumors
Our 70-year-old patient had a spectacular destruction of the left orbital region secondary to an initial cutaneous squamous cell carcinoma
The patient consulted at this stage, with a skin biopsy returned in favor of a well-differentiated keratinizing squamous cell carcinoma without vascular emboli or peri-nervous invasion
Summary
The periocular area, composed of the upper and lower eyelids and the internal and external canthus, is the frequent site of several benign and malignant skin tumors. Between 5% and 10% of cutaneous malignancies occur periorbitally, with basal cell carcinoma (BCC) reported as the most common malignant periocular tumor, followed by squamous cell carcinoma (SCC), sebaceous gland carcinoma (SGC), and cutaneous melanoma (CM) [1]. Our 70-year-old patient had a spectacular destruction of the left orbital region secondary to an initial cutaneous squamous cell carcinoma
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