Advanced Periocular Basal Cell Carcinoma with Orbital Invasion: Update on Management and Treatment Advances

Figure 2

(a) Recurrent basal cell carcinoma (BCC) in upper eyelid treated with radiotherapy (RT) (patient 4). Ulcerated mass that has eroded upper eyelid and periocular tissue up to the orbital roof, adherent to deep planes, and with downward displacement of the eyeball. (b) Axial computed tomography (CT) scan demonstrates a soft tissue mass in the left outer canthus of the left orbit. The lesion shows mild enhancement with irregular borders. Skin is infiltrated at the level of the superior eyelid with lacrimal gland invasion (arrow). (c) There is bone destruction of the lateral margin of the roof (arrow) (patient 4). There is no fatty plane of separation with the sclera and the anterior portion of the lateral rectus muscle. (d) Recurrent BCC with large ulceration in the medial canthus and part of the lower eyelid (patient 1). Limitation of ocular motility. (e) CT scan showing infiltration of the anterior orbit, lacrimal and ethmoid bones, sclera, and anterior portion of the medial rectus muscle (arrow).