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2008 Series -  September 23, 2008 Lecture 15 of 53  NEXT»

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Case15A Case15B

Photos courtesy of: Carol L. Shields, M.D.
Used with permission. Not to be reproduced.

A 56-year-old male complained of chronic irritation in his left eye for the past 2 years. He was treated for blepharitis and chronic conjunctivitis with intermittent relief. His best visual acuity was 20/20 in both eyes. The right eye was within normal limits. The left upper eyelid was thickened and edematous, with papillary reaction on tarsus, which was extending unto the lateral canthal region as shown above.  The rest of the examination was normal in the left eye.

1. What is the presumptive diagnosis?

a. sebaceous gland carcinoma
b. basal cell carcinoma
c. squamous cell carcinoma
d. chronic blepharoconjunctivitis

2. What is the best way to manage to this case?

a. wide excision of the lesion
b. cryotherapy
c. topical antibiotics and hot fomentation.
d. wide excision of the lesion and map biopsy

For answers to the above, click here on or after September 30, 2008.

 

 

 


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