BASAL CELL CARCINOMA ON THE LOWER EYELID REGION IN A YOUNG PATIENT WITH OCCUPATIONAL EXPOSURE AND SURGICAL REMOVAL BY EXERESIS AND CURETTAGE

Abstract

Basal cell carcinoma (BCC) is a malignant neoplasia with a high incidence worldwide in recent decades. It presents a character of localized invasion, mainly in the superior region of the face, with low risk of metastasis and recurrence. Risk factors for BCC include exposure to solar radiation and certain chemical agents. This case report presented and discussed the clinical, histopathological characteristics, risk factors, and treatment options for BCC in a young patient. Female patient, 20 years old, leucodermic, immunocompetent, student of agronomy, with occupational exposure to organophosphates and solar radiation and without a family history of any type of cancer or other dermatological conditions. Initially, she sought the health service with a small lesion in the lower left eyelid region, which expanded and compromised the area. After histopathological examination, histological aspects of moderately differentiated BCC were identified with evidence of scaly differentiation, infiltrative in the skin, compatible with primary cutaneous neoplasia. The diagnosis of BCC in a timely manner allowed for surgical removal by exeresis and curettage as a suitable treatment, in which there was no recurrence or postoperative complications.