A clinicopathological insight of high-risk periocular basal cell carcinoma in a Central Karnataka tertiary care center

Abstract

Introduction: Basal cell carcinoma (BCC) is a common example of basaloid tumor accounting for approximately 70% of all skin cancers. Periocular skin and eyelids are common sites of neoplastic lesions of the head and neck. Even though BCC is a slowly growing tumor with no metastases, it poses a threat in the periocular region due to its closeness to vital structures. Materials and Methods: The study comprised periocular BCCs diagnosed from July 2011 to June 2016. Clinical details were collected for the specimens. Microscopic findings were analyzed on hemotoxylin and eosin stained sections. Results: Of the 123 periocular tumors in a period of 5 years, 27 were malignant epithelial tumors. Of these, 23 cases were BCC, common in females (20 cases), and the most common age group was 60-69 followed by 70-79 years. Most common presentation was an ulcerated lesion and 31.8% of the lesions were in the medial canthus. Conclusion: All our cases were periocular lesions, so they were of high risk. Two patients were genetically predisposed and younger than 40 years, and two patients had recurrences. The referral patterns will be influenced by the concept of risk type (low or high) for BCC. Identification of lesions at the earliest can reduce the associated morbidity and recurrences.

Histologic pattern analysis of cutaneous basal cell carcinoma at a tertiary care hospital in South India

“…Identification of lesions at the earliest can reduce the associated morbidity and recurrences. 21 BCC in unusual sites which can be underestimated and be dangerous to patients deserve a special mention. 8 were located on covered / unusual sites of the body which includes three on the abdomen, two on the back and three on the lower extremity, which include the shin, ankle and foot.…”