To the Editor.
—A high index of suspicion is necessary for the early detection of recurrent basal cell carcinoma to prevent the serious sequelae of widespread local extension or orbital invasion. We report two cases of recurrent basal cell carcinoma masquerading as ectropions of the lower lid.
Report of Cases.
—A 72-year-old man was seen in October 1979 for evaluation of a lesion on the left lower eyelid. A shave biopsy specimen demonstrated basal cell carcinoma. The patient underwent surgical resection of the tumor with frozen-section monitoring of the surgical margins. Pathologic examination disclosed no tumor in the final margins. No ectropion, eyelid abnormality, or malposition was noted at the six-week postoperative examination. Five years later the patient returned with slight thickening of the eyelid and a mild ectropion that increased with time. Although suspicion of recurrent tumor was low, a block resection was performed to correct
Beyer TL, Dryden RM. Basal Cell Carcinoma Masquerading as Ectropion. Arch Ophthalmol. 1988;106(2):170–171. doi:10.1001/archopht.1988.01060130180011