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Related Experiment Videos

Periocular deep cutaneous basal cell carcinoma.

G H Garcia1, M Neuburg, J L Troy

  • 1Department of Ophthalmology, Medical College of Wisconsin, Milwaukee, USA.

Ophthalmic Plastic and Reconstructive Surgery
|December 10, 1999
PubMed
Summary

Distinguishing periocular basal cell carcinoma from benign cysts is challenging. Prompt histopathologic examination is crucial for accurate diagnosis and effective treatment to prevent recurrence.

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Area of Science:

  • Dermatology
  • Ophthalmology
  • Oncology

Background:

  • Distinguishing benign from malignant cutaneous periocular lesions is clinically challenging due to similar presentations.
  • Typical cutaneous changes aid diagnosis, but histopathology is essential when these are absent.

Observation:

  • Two patients with periocular basal cell carcinoma were initially misdiagnosed as having benign cysts.
  • Histopathologic examination after excisional biopsy confirmed basal cell carcinoma in both cases.

Findings:

  • Basal cell carcinoma can mimic benign cystic lesions in the periocular region.
  • Complete excision with Mohs micrographic technique ensured no recurrence during follow-up periods of one and eight years.

Implications:

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  • Misdiagnosis of periocular basal cell carcinoma can lead to delayed or inadequate treatment.
  • Histopathologic confirmation and complete surgical excision with margin control are vital for definitive management.