Surgical management of periocular squamous cell carcinoma: case report

This report describes the case of a 72-year-old female patient admitted to the ophthalmology clinic for a large round-oval tumor with a long-standing keratotic lesion on her lower eyelid, without extending to the free margin of the eyelid. The tumor was excised with a margin in non-tumorous tissue,...

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Published inJournal of medicine and life Vol. 16; no. 10; pp. 1571 - 1574
Main Authors Alexa, Anisia-Iuliana, Leferman, Carmen-Ecaterina, Ciubotaru, Alin Dumitru, Maștaleru, Alexandra, Abdulan, Irina Mihaela, Leon, Maria Magdalena
Format Journal Article
LanguageEnglish
Published Romania Carol Daila University Foundation 01.10.2023
Subjects
Aged
Anticoagulants
Biopsy
Carcinoma, Squamous Cell - diagnosis
Chronic illnesses
Eyelid Neoplasms - pathology
Eyelid Neoplasms - surgery
Female
Females
Humans
Keratoacanthoma - diagnosis
Keratoacanthoma - pathology
Keratoacanthoma - surgery
Medical prognosis
Melanoma
Ophthalmology
Skin cancer
Skin Neoplasms - diagnosis
Squamous cell carcinoma
Surgical Flaps
Ultraviolet radiation
oculoplastics
keratoacanthoma
periocular skin tumors
squamous cell carcinoma
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Summary:This report describes the case of a 72-year-old female patient admitted to the ophthalmology clinic for a large round-oval tumor with a long-standing keratotic lesion on her lower eyelid, without extending to the free margin of the eyelid. The tumor was excised with a margin in non-tumorous tissue, the nearest being 1 mm away from the tumor at the 12 o'clock position. The surgical process was complicated by the patient's treatment with the anticoagulant rivaroxaban, resulting in increased bleeding during surgery. The histopathological evaluation showed characteristics indicative of a well-differentiated squamous cell carcinoma, more specifically, the keratoacanthoma type. Consequently, it was necessary to extend the excision at the 12 o'clock position by an additional 3 mm. The procedure involved extensive removal of the impacted area and subsequent reconstruction with advancement flaps, supported by histological examination to ensure total excision. In cases of squamous cell carcinoma on the eyelid, multiple sequential excisions are often required to ensure complete removal within safe histological margins, achieving desirable functional and esthetic results.
ISSN:1844-3117
1844-122X
1844-3117
DOI:10.25122/jml-2023-0537