Case Report: Periocular Malignant Neoplasm

Introduction Periocular tissues are exposed to sunlight ultraviolet rays. Unreparable DNA damage may also araise. Thus, uncontrolled tumor proliferation may occur. Surgical excision remains a treatment associated with adjuvant management. Observation A 57-year male presented with optic correction. He was classified as skin prototype III. An ophthalmological examination revealed an ulcerative lower eyelid lesion. He underwent a biopsy with histological analysis confirmed the presence of malignant basaloid tumor cells. Complete excision was performed with 3 mm surgical margins and associated with radiotherapy. The follow-up was marked by good oncological and aesthetic results. Conclusion The periocular skin area is the most common site of malignant lesions in the head and neck. Locoregional extension and metastasis remain deadly complications. Early diagnosis is essential. Therefore, any periocular skin lesion should be considered, and biopsy should be performed at the slightest doubt.