THE BELGIAN OPHTHALMIC ASSOCIATIONS
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This abstract is assigned to session OB Poster session > in O'Bistro
| Title | A fast growing squamous cell carcinoma of the lower eyelid. |
| Purpose | To report a case of a fast growing epidermal tumor of the lower eyelid. |
| Methods | A 88-year-old man had complicated cataract surgery in februari 2010 with severe inflammation. During follow-up a lesion was noticed in the lower eyelid and was resected in may. Pathological report : infiltrative well differentiated squamous cell carcinoma, very close to the resection margin at the conjunctival side. The patient was referred in august with eyelid swelling. The lesion involved the medial third of the eyelid boarder and a subcutaneous mass extended over the whole lower eyelid, prolapsing in the lower fornix and medial canthus. According to the patient the tumor returned one month after the first excision, and is growing very fast. Imaging revealed a lower eyelid mass extending medially from to the eyeball close to the medial rectus muscle with an antero-posterior diameter of 17 mm. The treatment plan consisted of surgical exploration with excisional biopsy if possible without major surgery, because of the old age of the patient. Additional radiotherapy will be planned anyway because of a previous unknown resection method of this very aggressive tumor. |
| Results | Peroperatively the large lesion did not involve the anterior orbit, it was just pressed next to the eye. It could be resected, followed by lower eyelid reconstruction with a free tarsal graft and lateral cantholysis. Pathologic examination revealed a well differentiated keratotic squamous cell carcinoma. |
| Conclusion | Periorbital squamous cell carcinoma are less common than basal cell carcinoma. The clinical appearance of these slowly progressive lesions are diverse. |
Author 1
| Last name | VAN GRASDORFF |
| Initials | S |
| Department | University Hospital |
| City | Antwerp |
Author 2
| Last name | De Keizer |
| Initials | R |
| Department | University Hospital |
| City | Antwerp |
Author 3
| Last name | De Groot |
| Initials | V |
| Department | University Hospital |
| City | Antwerp |