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Surgical management of periocular squamous cell carcinoma: case report. | LitMetric

AI Article Synopsis

  • - A 72-year-old woman had a large tumor on her lower eyelid, which was surgically removed, but complications arose due to her anticoagulant medication, rivaroxaban, causing increased bleeding.
  • - The tumor was diagnosed as a well-differentiated squamous cell carcinoma, specifically keratoacanthoma type, leading to the need for a larger excision of the tumor area.
  • - To ensure complete removal and preserve eyelid function and appearance, the surgery involved extensive excision and reconstruction techniques, often requiring multiple procedures for thorough histological clearance.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10835559PMC
http://dx.doi.org/10.25122/jml-2023-0537DOI Listing

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