Although basal cell carcinoma is primarily a disease of adults, it is occasionally seen in younger patients, particularly if there is a family history of the basal cell carcinoma syndrome. It generally occurs on the lower eyelid as a slow-
ly progressive mass that frequently develops a central ulcer (rodent ulcer). Lesions near the eyelid margin often develop loss of eyelashes in the area of involvement. Treatment is local excision using frozen section control and eyelid reconstruction.
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