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Lateral canthal basal cell carcinoma

Photo by Dr. Ngo Chek Tung

A 70 year-old woman complained of a progressively enlarging skin lesion in the lateral canthal region. The lesion had a rolling edge with central ulceration. Inspection on the slit-lamp showed the tumour did not involve the grey line. The tumour was excised with a 3 mm margin and the lid margin was split along the grey line andthe anterior lamella was removed together with the tumour. The defect was closed with a rotational flap from the upper lid.

 

A fungating tumour in the lateral canthal region, the grey line was not invaded.   The tumour was excised with a 3mm margin. The grey line was split and the anterior lamella was removed together with the tumour.   Upper eyelid blepharoplasty was performed and the skin from the upper lid was rotated to cover the defect.     The defect was made smaller by apposing the lateral wound using 6/0 vicryl..   The flap was sutured to cover the defect.   The excess flap was trimmed off.   At the end of the operation.     Appearance of the eye 24 hours post-surgery. The mole and sebaceous cysts were also removed. Upper eyelid blepharoplasty was also perform on the left eye to achieve symmetry.

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