Tumor summary:
Procedure: Excision
Anatomic Site: Skin (Rt. medial canthus)
TUMOR
Histologic Type: Basal Cell Carcinoma, adenoid (trichoblastic) subtype
Tumor Size: 1.6 cm (greatest dimension of ulcerated area)
Tumor Depth (Thickness): 3 mm
Lymphovascular Invasion: Not identified
Perineural Invasion: Not identified
MARGINS
Peripheral Margins: Uninvolved
Closest Peripheral Margin: Inferior (0.3 cm)
Deep Margin: Uninvolved
Closest Deep Margin: 0.5 cm
PATHOLOGIC STAGE CLASSIFICATION (AJCC 8th Edition)
Primary Tumor (pT): pT1 (tumor <2 cm in greatest dimension with <2 high-risk features; depth 3 mm does not meet criteria for deep invasion)
Regional Lymph Nodes (pN): pNX (regional lymph nodes cannot be assessed/ not submitted).
Recurrent basal cell carcinoma located at the Rt. medial canthus.
Received was a 2.5 x 1.5 x 0.5 cm skin ellipse showing a 1.6 x 0.7 cm gray-yellow ulcerated area. The lesion was 0.2 cm from the deep, 0.5 cm from the superior, 0.3 cm from the inferior, 0.5 cm from the medial, and 0.4 cm from the lateral margins.
Skin, Rt. medial canthus, excision biopsy: