title: Eyelid contracture may indicate recurrent basal cell carcinoma, even after Mohs' micrographic surgery.
abstract: Mohs' micrographic surgery (MMS) is an effective means of margin control in the management of periocular basal cell carcinomas (BCC). We describe three cases of recurrent BCC that presented with progressive eyelid contracture after MMS. They illustrate high-risk factors for recurrence, namely large tumor size, medial canthal location, previous treatment, and aggressive histological features. Careful long-term surveillance with serial photography may identify early eyelid contracture and thus assist in the detection of recurrent BCC after MMS and improve patient outcome.
authors.affiliation: Cardiff Eye Unit, University Hospital of Wales, Cardiff, United Kingdom.
authors.forename: Lorraine Y
authors.initials: LY
authors.lastname: Ong
authors.forename: Carol M
authors.initials: CM
authors.lastname: Lane
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000473:pathology*; D018450:Disease Progression; D005142:Eyelid Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D009364:Neoplasm Recurrence, Local / Q000473:pathology