The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Medial canthal basal cell carcinoma

Photo by Dr. Yew Yen Harn

This 55 year-old woman complained of a medial canthal lesion that had increased slowly in size over the past three years. The lesion bled easily on scratching. The appearance was typical of a nodular basal cell carcinoma. A biopsy confirmed the diagnosis and a CT scan showed no evidence of orbital invasion. The lesion was excised with a 3mm margin. After confirming that the margin was free of tumour, the raw area was closed with rotational flaps.

 

Medial canthal nodular basal cell carcinoma.

 

The tumour was marked with a 3 mm margin.

 

After excising the lesion, the bleeding points were cauterized.

 

Reconstruction was performed after confirming the margin of the excised tissue contains no tumours. A rotational flap was created.

 

The flap was excised free from its base and rotated.

 

The flap was sutured to the edge of the raw area.

 

A small raw area was not covered by the lower rotational flap.

 

A small rotational flap was created superiorly to cover the small raw area.

 

Appearance of the eye at the end of reconstruction.

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