Primary basal cell carcinoma of the caruncle: case report and review of the literature.

Arq Bras Oftalmol

Dirección ejecutiva de Investigación y docencia especializada en oftalmología y desarrollo de Tecnologías, Instituto Nacional de Oftalmología "Dr Francisco Contreras Campos", Lima, Perú.

Published: March 2024

AI Article Synopsis

  • A case study is presented involving an 80-year-old woman with a rare occurrence of basal cell carcinoma (BCC) on the caruncle of her left eye, which was confirmed via histological analysis after complete excision.
  • The lesion measured 2x2mm and showed no signs of involvement with surrounding tissues; importantly, no recurrence of cancer was observed over a 30-month follow-up period.
  • The study highlights the need to consider BCC when diagnosing caruncular tumors due to its potential to invade the orbit, emphasizing the importance of complete removal and the possibility of additional treatments like radiotherapy or chemotherapy.

Article Abstract

We present a rare case of primary caruncle basal cell carcinoma (BCC), a condition with limited occurrences. Our patient, an 80-year-old woman without prior ocular pathological history, presented a 2x2mm pedunculated blackish nodular lesion on the caruncle of her left eye, without local conjunctival or cutaneous involvement. Histological analysis following complete excision confirmed the presence of basal cell carcinoma within the caruncle. Over a span of 30 months, no recurrence has been observed. While scant cases are documented in the literature, we conducted a review of these instances. Despite its infrequent manifestation, this condition should be taken into account when evaluating caruncular tumors, given its tendency to invade the orbit. Complete excision with free surgical margins is the treatment of choice, and adjuvant radiotherapy or chemotherapy might be considered.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11627277PMC
http://dx.doi.org/10.5935/0004-2749.2022-0357DOI Listing

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