Clinical Diversities in Basal Cell Carcinoma of the Eyelids

PURPOSE : Studying three similar cases of basal cell carcinomas and comparing their diverse presentations clinically and histopathologically. METHODS : Three cases who presented to the outpatient with lid tumors diagnosed as basal cell carcinoma both clinically and histopathologically were assessed were studied and their diverse presentation noted. RESULTS : In the three presentations, the first case presented as a small solid tumour, sago grained pearly in the upper lid, after wedge resection of the whole tumor, had no recurrence, the second case presented with an extensive lesion involving the length of the lower lid, irregular with ulceration and pearly rolled up edges, reluctant for surgery for aesthetic reasons, underwent chemotherapy and radiotherapy, the third case had features similar to the second case but came with extensive systemic lesions in lungs and bone underwent chemotherapy and radiotherapy. CONCLUSION : The biological behavior being unique in basal cell carcinomas due to which their presentations can be very diverse, their treatment is done keeping in mind that late diagnosis leads to more invasive surgery with functional and aesthetic effects.