CASE REPORT 1)

Basal cell carcinoma (BCC) is the commonest eyelid malignancy followed by squamous cell carcinoma and other rare tumors. Often, periocular skin BCC attacks deeply into tissues and infiltrates the orbit. Generally, periorbital malignancies behave more aggressively than malignancies at other cutaneous sites. In case of orbital infiltration, the surgical management remains challenging. A 64-year-old male patient with basal cell skin cancer of periorbital skin invading the orbit is presented. The patient refused orbital exenteration. A globe-preserving tumor excision with primary reconstruction was performed. During a two-year follow up there was no sign of tumor relapse, but the orbital movements were slightly reduced. Although in most cases of orbital invasion the exenteration remains the treatment of choice, a globe-sparing treatment may be appropriate in selected patients. The gold standard of treatment is a wide surgical excision which provides the lowest recurrence rate. The primary reconstruction yields acceptable aesthetic and functional results. Acta Medica Medianae 2020;59(1):83-89.