Advanced Periocular Basal Cell Carcinoma with Orbital Invasion: Update on Management and Treatment Advances

Figure 1

Recurrent basal cell carcinoma (BCC) (patient 11 in Table 1). (a) Ulcerative lesion in the medial canthus, adherent to deep planes. (b) Contraction of the eyelids that makes them difficult to open. Limitation in abduction of the eyeball. (c) Axial computed tomography scan demonstrates a soft tissue mass in the left inner of canthus of left orbit. The lesion shows homogeneous enhancement with slightly regular borders. The mass infiltrates the skin and subcutaneous layers, at the level of the inferior eyelid, involving the medial corner of the eye. There is infiltration of the medial inferior tarsal plate, of the anterior orbital tissue, and the anterior portion of the medial rectus muscle. There is no fatty plane of separation with the sclera (arrow). (d) Recurrent BCC (patient 7). Ulcerated mass in the lower periocular region, adherent to deep planes, and causing an upward displacement of the eyeball. (e) Radiographic confirmation of an irregular mass infiltrating the inferior orbital tissue, inferior rectus muscle, and orbital floor (arrow).