Surgical treatment of periocular cancers in Wagga Wagga: A retrospective audit

Gabriel Atan Sanchez

Non-melanoma skin cancers (NMSC) are predominantly non-fatal. Their presence and treatment in the periocular region can impact patient’s quality of life. Most common types are basal cell carcinoma (BCC) [70%] and squamous cell carcinoma (SCC) [30%]. Limited studies in Australia have explored surgical treatment of periocular NMSCs apart from a case-series of 485 patients (Nemet et.al 2006). Aim of this study was to determine surgical

treatment outcomes of periocular malignancy in an oculoplastic subspecialty practice within Wagga Wagga, including methods of excision/biopsy and reconstruction, histological diagnosis, % with incomplete excision and recurrences. In 2016-17, average age of patients with an NMSC periocular cancer was 70.5 years and gender ratio were equal (51.8% male.)

Most common location was left lower eyelid and most common histological diagnosis were BCCs. Most lesions underwent elliptical excision and most common method of reconstruction was advancement flap. Clear margins in 75.9% and nil recurrence of cancer.