title: Primary basal cell carcinoma of the caruncle: case report and review of the literature.
abstract: A case of primary basal cell carcinoma of the caruncle is presented and patients presented in the literature reviewed. Clinical features and outcome of a patient with primary basal cell carcinoma of the caruncle is described. Review of 8 other cases identified through literature search with the keywords of "basal cell carcinoma" and "caruncle" is presented.A 67-year-old male patient presented with a 12 months' history of a lesion over the caruncular region. Incisional biopsy of the lesion revealed primary basal cell carcinoma of nodular type. MRI of the orbit identified extension of the lesion into the medial orbit. The tumor was excised, and reconstructive surgery was performed. The patient declined subsequent radiotherapy. No recurrence was detected during the follow up of 33 months. The current patient and 8 other patients with primary basal cell carcinoma of the caruncle were reviewed.The main therapeutic approach for primary basal cell carcinoma of the caruncle is complete excision with tumor-free surgical margins. Adjuvant radiotherapy or chemotherapy may be administered when deemed necessary.
authors.affiliation: *Department of Ophthalmology, Katip Celebi University Ataturk Teaching and Research Hospital; and †Department of Pathology, Ankara University Faculty of Medicine, Ankara, Turkey.
authors.forename: Seyda
authors.initials: S
authors.lastname: Ugurlu
authors.forename: Meryem Altin
authors.initials: MA
authors.lastname: Ekin
authors.forename: Aysegul Aksoy
authors.initials: AA
authors.lastname: Altinboga
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000473:pathology* / Q000601:surgery; D003230:Conjunctival Neoplasms / Q000473:pathology* / Q000601:surgery; D005142:Eyelid Neoplasms; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013508:Ophthalmologic Surgical Procedures