Hypertrophic Scarring after Pentagonal Wedge Resection of the Eyelid for BCC. Clinical Case
https://doi.org/10.18008/1816-5095-2024-4-764-768
Abstract
The article presents a clinical case of a coarse scar formation at the site of full-thickness resection of the lower eyelid for basal cell carcinoma. Given the tendency of this type of tumor to be locally invasive and its high recurrence rate (even after complete removal with negative histopathological margins), high caution should be taken and additional diagnostic options should not be neglected, such as, for example, studying of tissue autofluorescence, as well as timely biopsy.
About the Authors
Ya. O. Grusha
M.M. Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Grusha Yaroslav O., MD, Professor, head of the Orbital and Ocular Reconstructive Plastic Surgery Department
Rossolimo str., 11 A, B, Moscow, 119021,
Trubetskaya str., 8/2, Moscow, 119991
N. P. Kiryushchenkova
M.M. Krasnov Research Institute of Eye Diseases
Russian Federation
Russian Federation
Kiryushchenkova Natalia P., research officer of the Orbital and Ocular Reconstructive Plastic Surgery Department
Rossolimo str., 11 A, B, Moscow, 119021
References
1. Baxter JM, Patel AN, Varma S. Facial basal cell carcinoma. BMJ. 2012;345:e5342. doi: 10.1136/bmj.e5342.
2. Vivian TY, Merritt HA, Sniegowski M, Esmaeli B. Eyelid and ocular surface carcinoma: Diagnosis and management. Clinics in Dermatology. 2015;33:159–169.
3. Grusha YaO, Ismailova DS, Rizopulu ÉF. Surgical treatment for malignant epithelial eyelid neoplasms. Head and Neck Tumors (HNT). 2012;2:24–29 (In Russ.).
4. Alvaro Toribio JA. Double Lateral Flap: A New Technique for Lower Eyelid Reconstruction Alternative to the Tenzel Procedure. AesthPlastSurg. 2015;39(6):935–341.
5. Iljin A, Zieliński T, Antoszewski B, Sporny S. Clinicopathological analysis of recurrent basal cell carcinoma of the eyelid. Postepy Dermatol Alergol. 2016 Feb;33(1):42–46. doi: 10.5114/pdia.2015.48039.
6. Lara F, Santamaría JR, Garbers LE. Recurrence rate of basal cell carcinoma with positive histopathological margins and related risk factors. An Bras Dermatol. 2017 JanFeb;92(1):58–62. doi: 10.1590/abd1806-4841.20174867.
7. Grusha YaO, Rizopulu ÉF, Fedorov AA, Novikov IA, Sdobnikova LE. Modified meibography in malignant eyelid tumors of epithelial origin. Annals of Ophthalmology. 2019;135(5):141–149 (In Russ.). doi: 10.17116/oftalma2019135052141.
8. Груша ЯО, Ризопулу ЭФ, Федоров АА, Новиков ИА. Мейбография при новообразованиях век. М.: ГЭОТАРМедиа, 2020. 96 с. Grusha YaO, Rizopulu ÉF, Fedorov A.A. Novikov I.A. Meibography with neoplasms of the eyelids. Moscow: GEOTARMedia, 2020. 96 p. (In Russ.)
9. Grusha YaO, Kiryushchenkova NP, Novikov IA, Fedorov AA, Ismailova DS. Histological verification of autofluorescence borders of periorbital skin tumors. Annals of Ophthalmology. 2020;136(6):32–41 (In Russ.). doi: 10.17116/oftal-ma202013606132.
10. Wan B, Ganier C, DuHarpur X, Harun N, Watt FM, Patalay R, Lynch MD. Applications and future directions for optical coherence tomography in dermatology. Br J Dermatol. 2021;184:1014–1022.
11. Peris K, Fargnoli MC, Garbe C, Kaufmann R, Bastholt L, Seguin NB, Bataille V, Marmol V del, Dummer R, Harwood CA, Hauschild A, Höller C, Haedersdal M, Malvehy J, Middleton MR, Morton CA, Nagore E, Stratigos AJ, Szeimies RM, Tagliaferri L, Trakatelli M, Zalaudek I, Eggermont A, Grob JJ. Diagnosis and treatment of basal cell carcinoma: European consensusbased interdisciplinary guidelines. Eur J Cancer. 2019;118:10–34. doi: 10.1016/j.ejca.2019.06.003.
12. Clinical guidelines. Basal cell carcinoma of the skin. 2020. (In Russ.) URL: https://cr.minzdrav.gov.ru/recomend/467_1 (accessed 30.11.2023).
13. Vornicescu C, Șenilă SC, Bejinariu NI, Vesa ȘC, Boșca AB, Chirilă DN, Melincovici CS, Sorițău O, Mihu CM. Predictive factors for the recurrence of surgically excised basal cell carcinomas: A retrospective clinical and immunopathological pilot study. Experimental and Therapeutic Medicine. 2021;22(5):1336. doi: 10.3892/etm.2021.10771.
14. Girardi FM, Wagner VP, Martins MD, Abentroth AL, Hauth LA. Factors associated with incomplete surgical margins in basal cell carcinoma of the head and neck. Braz J Otorhinolaryngol. 2021 NovDec;87(6):695–701. doi: 10.1016/j.bjorl.2020.02.007.
15. Fritsch C, Ruzicka T. FDAP: Correlation of in vivo — tumor fluorescence and histopathology. In: Fritsch C, Ruzicka T. Fluorescence Diagnosis and Photodynamic Therapy of Skin Diseases: Atlas and Handbook. Springer Science & Business Media. 2012;46–48.
Review
For citations:
Grusha Ya.O., Kiryushchenkova N.P. Hypertrophic Scarring after Pentagonal Wedge Resection of the Eyelid for BCC. Clinical Case. Ophthalmology in Russia. 2024;21(4):764-768. (In Russ.) https://doi.org/10.18008/1816-5095-2024-4-764-768
Views:
191
Email this article 