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Introduction
Basal cell carcinoma (BCC)
Frequency of location of basal cell carcinoma
Lower lid - 70% Medial canthus - 15%
Upper lid - 10% Lateral canthus - 5%
Histology of basal cell carcinoma
Downgrowth from epidermis
of small, dark atypical basal cells
Peripheral palisading
Cell nests in fibrous stroma
Squamous cell carcinoma
Prominent nuclei and
abundant acidophilic
cytoplasm
Variable sized groups of atypical
epithelial cells within dermis
Histology of squamous cell carcinoma
Keratin ‘pearl’( well defined tumors)
Keratoacanthoma
Actinic Keratosis
Sebaceous gland tumor
Histology of meibomian gland carcinoma
Lobules of cells with pale foamy vacuolated lipid-containing cytoplasm and large
hyperchromatic nuclei
Melanoma
Merkel Cell Carcinoma
Kaposi sarcoma
AdvancedEarly
Pink, red-violet lesion
• Vascular tumour occurring in patients with AIDS
• Usually associated with advanced disease
• Very sensitive to radiotherapy
May ulcerate and bleed
Xeroderma pigmentosum
Gorlin–Goltz syndrome
Muir–Torre syndrome
Treatment Options
• Cryotherapy
• Radiotherapy
Small BCC not involving medial
canthus
• Surgical excision
Method of choice
Small and superficial BCC
irrespective of location
Adjunct to surgery in selected cases
Kaposi sarcoma
:
• -
Thank you

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