Cases: Nov 08
68 year old man, with gradual darkening beneath the left eye over 1 year.
Has also noticed a small, round tumour located at edge of lower eyelid.
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What diagnoses and treatments should be considered?
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See the answer
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Spherical tumour, mm size, with telangiectases loc. to limbus of lower left eyelid.
Basal cell carcinoma must be suspected (telangiectases superficially on smooth skinned area).
- Irregularly pigmented, unsharply delimited macular lesion below left eye.
- Clinical lentigo with uneven pattern of pigmentation suspect for lentigo maligna melanoma.
- Biopsy confirms that this is a malignant melanoma in situ.
Treatment: Plastic surgery with skin excision of both forms of tumour.
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