A 79-year-old woman presents with a nodular lesion on her right upper eyelid. What could be the cause?

Plastics Coach #19


Here, we see a squamous cell carcinoma (SCC).

Risk factors include sun exposure, history of prior malignancies, and the presence of pre-cancerous lesions such as actinic keratosis. Ask patients with suspected SCC about their cumulative sun exposure and history of blistering sun burns. Management of SCC includes medical and surgical intervention. Complications include invasion of nearby orbital, ocular, and peri-neural structures.

In this 13-minute video featuring Dr. Ahsen Hussain, assistant professor at Dalhousie University in Nova Scotia, we wil review:

  • How to diagnose squamous cell carcinoma
  • Etiology of squamous cell carcinom
  • Management for squamous cell carcinoma
Plastics Coach #19 Analysis

Plastics Coach Tip

When performing a punch biopsy of suspicious lesions, try and capture the outer tumour to avoid collecting a necrotic tissue sample.

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