Clinio-pathological study of recurrent basal cell carcinoma in periocular region

Authors : Achyut N Pandey, Manoj Tyagi*, Shweta Sharma

DOI : 10.18231/j.ijceo.2023.047

Volume : 9

Issue : 2

Year : 2023

Page No : 252-254

Aim: To evaluate the prevalence, topographical location and histological type of recurrent basal cell carcinoma in periocular region at tertiary care centre.
Materials and Methods: Clinical and histological data was collected from the patients treated for recurrent basal cell carcinoma (BCC) in periocular region during Jan 2019 to Dec 2021 was analyzed for prevalence, topography, histological type in recurrent cases.
Results: 280 cases were managed during Jan 2019 to Dec 2021. Out of these 44 were recurrent BCC. In recurrent cases 30 were male and 14 were female. Majority of recurrences about 80% occurred within 3 years of primary excision.
Conclusion: Ocular adenexa is most common anatomical site for recurrent basal cell carcinoma. Histologically also more than 80% cases were having of recurrence. Recurrence after incomplete excision is reported to be 20% with 5-9 years of follow-up. Thus, we suggest that all patients who had undergone BCC surgical excision should be re-examined regularly even if surgical margins were negative on histopathology or tumor was indolent in nature.
 

Keywords: Basal cell carcinoma, Mohs surgery, Periocular tumors, Surgical excision, Metastasis.


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