Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case Report
Basal Cell Carcinoma (BCC) is the most common type of eyelid malignancy among white race individuals but is rare among blacks and Indians. The BCC predominantly affects the sun exposed parts like the neck, back and face (88-90%). These tumours are mostly located on the lower eyelid margin and the me...
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JCDR Research and Publications Private Limited
2022-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/16052/52952_CE[Ra1]_F[SH]_PF1(JY_SS)_PFA(NC_SL)_PN(KM).pdf |
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| author | Kalaimamani Ezhil Vendhan Kamala Balakrishnan Aparajita Gautam S Harshitha B Jeyaprakash |
| author_facet | Kalaimamani Ezhil Vendhan Kamala Balakrishnan Aparajita Gautam S Harshitha B Jeyaprakash |
| author_sort | Kalaimamani Ezhil Vendhan |
| collection | DOAJ |
| description | Basal Cell Carcinoma (BCC) is the most common type of eyelid malignancy among white race individuals but is rare among blacks and Indians. The BCC predominantly affects the sun exposed parts like the neck, back and face (88-90%). These tumours are mostly located on the lower eyelid margin and the medial canthus as upper eyelids are protected from the Ultraviolet (UV) sunrays by the eyebrows and superior orbital margin. Although BCC seldom metastasizes, it is nonetheless considered malignant, since it can infiltrate adjacent tissues and cause substantial deformity and destruction. Here, authors have reported a rare case of 55-year-old female patient with recurrence of surgically treated BCC of upper eyelid involving eyebrow. Surgical excision is the most common employed treatment of choice in extensive tumours. Patient had extensive recurrent spread of BCC in left upper eyelid with multiple small ulcers in and around the left eye with pain and no Perception of Light (PL) vision. Exenteration of left eye was done followed by split skin autografting at the site. The BCC is usually not fatal, but early diagnosis and appropriate treatment promises better functionality and aesthetic outcome. |
| first_indexed | 2024-04-10T16:57:40Z |
| format | Article |
| id | doaj.art-ab7f951f8c144763a230503aa2627d63 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T16:57:40Z |
| publishDate | 2022-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ab7f951f8c144763a230503aa2627d632023-02-07T04:49:07ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-03-01163ND01ND0310.7860/JCDR/2022/52952.16052Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case ReportKalaimamani Ezhil Vendhan0Kamala Balakrishnan1Aparajita Gautam2S Harshitha3B Jeyaprakash4Medical Superintendent, Department of Ophthalmology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India.Postgraduate, Department of Ophthalmology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India.Postgraduate, Department of Ophthalmology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India.Postgraduate, Department of Ophthalmology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India.Associate Professor, Department of Ophthalmology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India.Basal Cell Carcinoma (BCC) is the most common type of eyelid malignancy among white race individuals but is rare among blacks and Indians. The BCC predominantly affects the sun exposed parts like the neck, back and face (88-90%). These tumours are mostly located on the lower eyelid margin and the medial canthus as upper eyelids are protected from the Ultraviolet (UV) sunrays by the eyebrows and superior orbital margin. Although BCC seldom metastasizes, it is nonetheless considered malignant, since it can infiltrate adjacent tissues and cause substantial deformity and destruction. Here, authors have reported a rare case of 55-year-old female patient with recurrence of surgically treated BCC of upper eyelid involving eyebrow. Surgical excision is the most common employed treatment of choice in extensive tumours. Patient had extensive recurrent spread of BCC in left upper eyelid with multiple small ulcers in and around the left eye with pain and no Perception of Light (PL) vision. Exenteration of left eye was done followed by split skin autografting at the site. The BCC is usually not fatal, but early diagnosis and appropriate treatment promises better functionality and aesthetic outcome.https://www.jcdr.net/articles/PDF/16052/52952_CE[Ra1]_F[SH]_PF1(JY_SS)_PFA(NC_SL)_PN(KM).pdfmalignancymetastasistumour |
| spellingShingle | Kalaimamani Ezhil Vendhan Kamala Balakrishnan Aparajita Gautam S Harshitha B Jeyaprakash Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case Report Journal of Clinical and Diagnostic Research malignancy metastasis tumour |
| title | Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case Report |
| title_full | Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case Report |
| title_fullStr | Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case Report |
| title_full_unstemmed | Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case Report |
| title_short | Atypical Recurrent Presentation of Histologically Aggressive Type of Basal Cell Carcinoma with a Challenging Management- A Rare Case Report |
| title_sort | atypical recurrent presentation of histologically aggressive type of basal cell carcinoma with a challenging management a rare case report |
| topic | malignancy metastasis tumour |
| url | https://www.jcdr.net/articles/PDF/16052/52952_CE[Ra1]_F[SH]_PF1(JY_SS)_PFA(NC_SL)_PN(KM).pdf |
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