Incompletely excised basal cell carcinoma of the ocular adnexa

Incompletely excised basal cell carcinoma of the ocular adnexa is discussed by reviewing the role of surgery, cryosurgery, Mohs' chemosurgery, radiation, and observation on the management of this problem. The ultimate treatment depends upon tumor histology, operability of the lesion, location of the lesion, type of surgery performed, age and general condition of the patients, and extenuating socio-economic variables. What may be optimal treatment for a primary tumor is not necessarily optimal treatment for an incompletely excised tumor because of the risk of converting a minor surgical procedure into a major one and possible impairing ultimate lid or ocular function via flap or graft compromise or corneal exposure. This paper explores the choices available to the surgeon in detail.