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2009 Series : December 15, 2009

December 29, 2009  |  December 22, 2009  |  December 15, 2009  |  December 8, 2009  |  December 1, 2009  |  November 24, 2009  |  November 17, 2009  |  November 10, 2009  |  November 3, 2009  |  October 27, 2009  |  October 20, 2009  |  October 13, 2009  |  October 6, 2009  |  September 29, 2009  |  September 22, 2009  |  September 15, 2009  |  September 8, 2009  |  September 1, 2009  |  August 25, 2009  |  August 18, 2009  |  August 11, 2009  |  August 4, 2009  |  July 28, 2009  |  July 21, 2009  |  July 14, 2009  |  July 7, 2009  |  June 30, 2009  |  June 23, 2009  |  June 16, 2009  |  June 9, 2009  |  June 2, 2009  |  May 26, 2009  |  May 19, 2009  |  May 12, 2009  |  May 5, 2009  |  April 28, 2009  |  April 21, 2009  |  April 14, 2009  |  April 7, 2009  |  March 31, 2009  |  March 24, 2009  |  March 17, 2009  |  March 10, 2009  |  March 3, 2009  |  February 24, 2009  |  February 17, 2009  |  February 10, 2009  |  February 3, 2009  |  January 27, 2009  |  January 20, 2009  |  January 13, 2009  |  January 6, 2009

To see views enlarged, click on the individual pictures...

QOW121509_1B
Fig. 1. Tumor recurrence in left upper lid
QOW121509_1A
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.