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

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



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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