Patients BCC progression

This is the photograph of a patient I had first seen over 2 years ago, then again recently

He gave me this story: “I had cancer on my eyelid, and the dermatologist removed it and said it is gone. Now my eye is watery”

Patients BCC progression - this is a before photo from 2 years ago.

Have a look at the photo, and you will see all is not right. I warned him I was concerned, and scheduled him for a biopsy. He declined.

He returned 2 years later, and it looked much worse…

However, the third image shows just how bad…..evert the lid and the cancer has migrated into the orbit.

BCC progression after 2 years and no intervention. With the eyelid everted, you can see the BCC or cancer under the eyelid.

This doesn’t need a biopsy, it is a BCC!

I explained everything to the patient and he had it removed yesterday.

Wait till you see the hole.

Clinical lessons:

  1. patients say a lot, and a lot that patients say is wrong
  2. Listen, ask questions, and verify
  3. Patients often seek an easy, more comfortable, or more appealing alternatives

For more before and after photos of Mohs surgery visit:

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