Basal cell carcinoma is
the most common malignant tumor of the eyelids. Most of
these carcinomas present as a nodular lesion with
telangiectatic vessels at its borders. Larger lesions
that outgrow their blood supply can ulcerate or can
become umbilicated with smooth, pearly borders.
Pigmented, cystic and sclerosing basal cell carcinomas
are less common than the nodular form seen here. Basal cell carcinoma occurs most
often in fair-skinned individuals. Patients are usually
over 50years of age. In young individuals who present
with signs of basal cell carcinomas, the basal cell nevus
syndrome should be considered.
Surgical excision with
frozen-section control provides a definitive
histopathologic diagnosis and cure for basal cell
carcinoma. Cryotherapy is sometimes considered for small
lesions with well-defined borders. Reconstructive surgery
may be needed for extensive or recurrent lesions.
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