Medical Subject Headings
Carcinoma, Basal Cell; Basal Cell Nevus Syndrome; Lacrimal Apparatus; Mohs Surgery
Background: Basal cell carcinoma is the most common skin cancer in humans and is frequently found in the periocular region. It is generally characterized by slow growth with rare metastasis and has an excellent prognosis with current surgical techniques. However, if neglected or inadequately treated it can lead to substantial localized tissue destruction and morbidity.
Case Report: This case presents an advanced basal cell carcinoma involving the left side of the nose and medial eyelids which had been neglected by the patient, causing significant functional disability and cosmetic disfigurement. The tumor was removed with a wide surgical excision which required skin grafts and eyelid reconstruction.
Conclusion: Early diagnosis and management of suspicious lesions is important to ensure the best clinical result. In extreme cases psychosocial or economic factors may delay treatment, resulting in more aggressive growth which requires more extensive multidisciplinary intervention to achieve a satisfactory outcome for the patient.
Bennett LW. A Case Report of Advanced Neglected Basal Cell Carcinoma. Optometric Clinical Practice. 2021; 3(1):15. doi: 10.37685/uiwlibraries.2575-77126.96.36.1992. https://doi.org/10.37685/uiwlibraries.2575-77188.8.131.522
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