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Fig. 1. Tumor recurrence in left upper lid

Fig. 2. Histology of the specimen from the original surgery

A 70-year-old female presented with tumor recurrence in her left upper eyelid. She underwent surgical excision with frozen-section control of margins and reconstruction.

1.	What is the most likely diagnosis?
	a. basal cell carcinoma b. squamous cell carcinoma c. sebaceous gland carcinoma d. melanoma e. merkel cell carcinoma
2.	During initial biopsy, the surgical specimen should be sent:
	a. fresh b. in formalin c. in alcohol d. in saline e. none of the above
3.	The reconstructive procedure used in this case may have been:
	a. Hughes procedure b. Cutler-Beard procedure c. lateral canthotomy and cantholysis d. Tenzel semicircular flap e. Glabbelar flap

For answers to the above, click here on or after December 22, 2009.