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Basal cell carcinoma (periorbital)

Case contributed by Dr Varun Babu


Slowly progressive right lower eyelid swelling with recent restriction of ocular movements

Patient Data

Age: 75 years
Gender: Male

Soft tissue lesion involving inferolateral pre and post septal compartments of right orbit, involving the tendinous globe insertions of inferior and lateral recti, enhancing intensely in post gadolinium contrast, exerting mild mass effect on the globe without any infiltration. 

Case Discussion

Patient came for imaging following a histopathological diagnosis of basal cell carcinoma. Prime purpose of imaging is to know intra orbital extension and involvement of extra ocular muscles if any. Periocular basal cell carcinoma is one the most common malignancies of the eyelid in old age. Ocular invasion is uncommon, but when it does, it leads to vision problems, secondary to extra ocular muscle invasion.  

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Case information

rID: 55179
Published: 24th Aug 2017
Last edited: 21st Nov 2019
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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