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Histologic section of a basal cell carcinoma with perineural invasion (Hematoxylin and Eosin, 10x).
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A recent biopsy showed BCC with a morpheaform (sclerosing) pattern and perineural invasion (Fig. 1).
A) Basal cell carcinoma of the right lower eyelid and lateral canthus. B) The surgical defect after resection of the mass with frozen section control of the margins. C) The defect was closed using a tarsoconjunctival flap and a full-thickness skin graft. D) Final appearance after opening the flap and administration of postoperative adjuvant radiation therapy.
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On examination, there was an ulcerative mass in the right lateral canthus (Fig. 2A). Margin clearance was confirmed on frozen section and complex repair of the defect in the right upper eyelid was performed using a tarsoconjunctival flap (Figures 2B and 2C).
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