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W. RICHARDGREENMdFrom the Eye Department (Drs Olver, Muhtaseb, and Chauhan) and the Pathology Department (Dr Mannion), Charing Cross Hospital, London, England.
An 81-year-old man had a keratotic eyelid lesions for 20 years. He eventually sought treatment by ophthalmic plastic surgery. Clinically, the lesion resembled a keratoacanthoma. Findings from histologic examination of the excision biopsy specimen showed a squamous cell carcinoma. The lesion was completely excised. This case demonstrates the difficulty in making a correct clinical diagnosis of a keratotic eyelid lesion. Performing a histologic examination of nonregressed keratotic lesions is essential to exclude a squamous cell carcinoma.
Olver JM, Muhtaseb M, Chauhan D, Mannion E. Well-Differentiated Squamous Cell Carcinoma of the Eyelid Arising During a 20-Year Period. Arch Ophthalmol. 2000;118(3):422–424. doi:10.1001/archopht.118.3.422
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