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A Case Report of Basosquamous Cell Carcinoma Originated from Lower Eyelid Suk-Woo Yang, M.D.¹, Hae-Ri Yum, M.D.¹, Won-Kyung Cho, M.D.¹, Ji-Sun Paik, M.D.¹, So-Youl Kim, M.D.² Department of Ophthalmology and visual science, Seoul St. Mary`s Hospital, Catholic University of Korea, Collage of Medicine, Seoul, Korea¹, Glory St. Mary's Eye Clinic² Methods: A 83-year-old female who had been treated arrhythmia visited to our department with an ulcerative mass around her left lower eye. The mass was 10 x 8 mm sized. The lesion steadily had increased in size over more than several years and sometimes presented light bleeding. Although, biopsy turned out to be BSC, patient refused tumor removal operation because of her age and cardiac problems. 4 years later, she re-visited our department and the mass recently grew up to 30 x 50 mm and invaded upper eyelid after intravenous supply of high-calories nutrients. Results: Under general anesthesia, debulking tumor removal procedure was performed with 2mm length of safety margin and upper and lower eyelids were directly sutured. Conclusion: BSC is a rare skin carcinoma and consists of 5.4 % in all eyelid carcinoma. It is an infiltrative growth subtype of basal cell carcinoma (BCC) that shows areas of BCC and squamous cell carcinoma. On the contrary to BCC grows slowly, BSC aggressively grows and has high potential for distant metastases. In this case, BSC of lower eyelid had been remained unchanged in size for several years in aged patient without definite metastasis, and then grew rapidly after high-calories nutrients supply. Excision probably the best but time-tasking procedure of eyelid reconstruction is not always essential in old age patient with systemic disease. |
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