case_images: PMC10762342_01
case_images: The lesion on the patient's face, extending on left cheek, nasal ala, medial canthal and the eyelids.
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case_images: We report a case of an 87-year-old female patient who presented with a lesion on her left cheek, nasal ala, medial canthal area, and eyelids to the hospital (Fig. 1).
case_images: The wide excision during the surgery.
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case_images: PMC10762342_01_gr2.jpg
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case_images: A wide excision was performed, which involved the removal of nearly 90 % of the lower eyelid, half of the upper eyelid, the medial canthus, and a portion of the nose and left cheek (Fig. 2).
case_images: The stitches after the surgery.
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case_images: The surgical team carefully planned the reconstruction process to achieve good cosmetic and functional outcomes (Fig. 3).
case_images: Basosquamous carcinoma, basaloid and squamous cells, Hematoxylin-Eosin stain; original magnifications: x40, x100, x200, x400.
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case_images: The surrounding stroma had shrunk to form narrow clefts, and other sections showed nests of malignant squamous cells surrounded by dense desmoplastic stroma (Fig. 4).
case_images: A: two weeks after the first surgery.. B: three months after the first surgery.. C: five months after the two surgeries.. D: one year after the two surgeries.
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case_images: The patient's visual acuity was not affected, and there were no surgical complications or recurrences within one year of the surgery (Fig. 5).