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Revista Cubana de Oftalmología

Print version ISSN 0864-2176On-line version ISSN 1561-3070

Abstract

BATISTA PENA, Maikel; ARZUAGA HERNANDEZ, Elizabeth; GONZALEZ PILOTO, Sahirys  and  PEREZ POLANCO, Elvia Samantha. Non-surgical, surgical and reconstructive treatment of basal cell eyelid carcinoma. Rev Cubana Oftalmol [online]. 2021, vol.34, n.3, e1066.  Epub Nov 22, 2021. ISSN 0864-2176.

A bibliographic search was conducted about basal eyelid carcinoma with the purpose of describing the current context of surgical, non-surgical and reconstructive treatment. Current management of this condition includes many treatment options aimed at removing the tumor with the least possible functional and esthetic sequels. Among them are the following: topical medication (imiquimod, interferons, vismodegib, sonidegib), minimally invasive procedures (photodynamic therapy), ablative therapy (curettage, electrocauterization, cryosurgery) and highly specialized procedures (conventional surgical resection, radiotherapy or Mohs surgery). Surgical planning should consider the previous treatment, the histological subtype, and the site and size of the lesion. These factors have been shown to affect cure rates. Based on these elements, an algorithm was developed for the treatment of basal cell carcinoma which may be useful in selecting the surgical technique and safety margins, particularly in settings where micrographic surgery is not widely available.

Keywords : Basal cell carcinoma; Mohs surgery; treatment.

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