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RECURRENT PERIOCULAR BASAL CELL CARCINOMA. CASE REPORT.
Summary
This case study details the management of aggressive periocular basal cell carcinoma (BCC) that required orbital exenteration. It emphasizes the need for complete surgical removal and histological examination to prevent recurrence of this common skin cancer.
Area of Science:
- Ophthalmology
- Dermatology
- Oncology
Background:
- Basal cell carcinoma (BCC) is the most prevalent non-melanoma skin cancer affecting the periocular region.
- Surgical excision is the primary treatment for BCC.
- Advanced BCC can necessitate extensive interventions, including orbital exenteration.
Observation:
- A recurrent case of basal cell carcinoma with orbital invasion in an 84-year-old male is presented.
- The patient underwent multiple treatments including tumor excision, re-excision, radiation therapy, and ultimately orbital exenteration.
- Despite aggressive treatment, tumor recurrence was noted post-exenteration.
Findings:
- Advanced periocular basal cell carcinoma poses significant management challenges.
- Radical resection of the primary tumor with thorough histological examination is crucial.
- In severe, invasive cases, orbital exenteration may be an unavoidable surgical option.
Implications:
- This case underscores the importance of timely and complete surgical management of periocular basal cell carcinoma.
- Aggressive or inadequately treated BCC can lead to advanced disease requiring extensive surgical procedures.
- Early detection and treatment are vital to prevent extensive morbidity and preserve critical periorbital structures.
