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Arch Dermatol. 2004;140:1003-1008.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Pigmented basal cell carcinoma (BCC) of the eyelid.

MICROSCOPIC FINDINGS

Light microscopy showed evidence of multiple nodular masses of basaloid cells with peripheral palisading. Nodular masses showed little melanin within the nodules but many melanophages in the connective tissue stroma surrounding tumor masses.

DISCUSSION

Basal cell carcinomas are the most common cutaneous tumors, accounting for approximately 70% of all malignant diseases of the skin, exceeding squamous cell carcinomas by a ratio of 5:1. They are found on sun-exposed areas (the head and neck region accounts for 80% of cases) and are more common in whites, being rare in blacks.¹ They are also more common in males than in females, presumably because males have greater occupational and recreational exposure to UV light. Other predisposing factors are exposure to radiation and genetic and hereditary disorders.¹ Basal cell carcinomas tend to occur in older persons but have been documented in children.

They tend not to metastasize but may be locally invasive.¹ Clinical variants include . . . [Full Text of this Article]

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