A) LEFT LOWER EYE LID, RESECTION: BASAL CELL CARCINOMA,
SUPERFICIAL/MULTIFOCAL TYPE, MARGINS FREE IN THE
A) Hematoxylin and eosin-stained slides show sections
of eyelid, including one half comprised of conjunctiva
and the opposing half comprised of skin, with
subepithelial stroma and the tarsal muscle in between.
At the junction between skin
associated with the skin epithelial surface, are
multiple budding nodules invading the subjacent stroma.
These nodules are characterized by a basaloid cell
proliferation with peripheral palisading of the nuclei
and focal retraction artifact. Margins are free in the
section examined. The conjunctival surface is
characterized by squamous-type epithelium with
scattered goblet cells and a brisk subepithelial
lymphoplasmacytic inflammatory infiltrate. Multiple
additional levels are examined."
At first I was all, woo hoo, the margins of the sample are cancer-free! They got it all! Then I looked it up, and that's not really sufficient to prevent recurrence - the margins have to be free out to 4-6 mm from the tumor site, or it tends to come back. That's a lot of real estate for such a sensitive area.
Still, if I'm not actually growing a tumor right now I feel like maybe I can put the Mohs surgery off until I graduate and just wear hats/sunglasses/goggles for the nonce.
On the other hand, I'm pretty sure I have another one on my nose that's been growing for about the same amount of time. I'm kind of picturing going full
Ironically, the weather is beautiful today! Sunny, and very very cold. My hat and glasses will enjoy it, I am sure.