Nagaraju G1, Chinmayee J. T2, Natarajan M3, Vanitha M. D4
The main malignant tumors affecting the eyelid are Basal cell carcinoma (BCC), Sebaceous gland carcinoma (SGC), Squamous cell carcinoma (SCC), and Malignant melanoma (MM) in that order of frequency in Asia. SGC and BCC forms majority of tumors in India. SCC is rare in Indian population and generally occurs in predisposed individuals like in patients with Xeroderma pigmentosa. BCC may present as pigmented or non-pigmented, nodular or noduloulcerative lesion. Usually SGC and BCC are not confused because of varied clinical appearance and morphology. However non pigmented noduloulcerative BCC can be confused with SCC. We report a case of histopathologically proven squamous cell carcinoma presenting as basal cell carcinoma in a 90 year old patient and its management.