Presentation
Left lower eyelid hard tissue bulge, epiphora, and limitation of motion of the left eye.
Patient Data
A large infiltrative solid mass lesion in the left lower eyelid deep subdermal extended within left side medial canthus, related orbital septum and postseptal tissues, the medial and inferior rectus muscles' tendons, and related eye uveo-scleral layer is seen. The mass also extended within the nasolacrimal duct, anterior ethmoid sinus, and anterior nasal cavity with bone destruction which has caused a distended left lacrimal sac. The mass has skipped lesions within the upper eyelid rim and related conjunctiva and is also minimally extended within related superior oblique muscle.
Left eye temporal deviation is also seen.
Case Discussion
The case illustrates the non-contrast MDCT features of pathology-proved recurrent basal cell carcinoma of the lower eyelid. The main treatment of eyelid basal cell carcinoma is surgical and the tumor has a relatively high local recurrence rate.
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