This lecture builds on foundational knowledge to help optometrists interpret complex dermatopathology reports of periocular and facial skin lesions. It focuses on recognizing malignant and premalignant entities such as squamous cell carcinoma, basal cell carcinoma and subtypes, and benign mimickers. Key histologic patterns are reviewed and correlated with clinical behavior through case-based images, emphasizing accurate risk assessment, timely referral, and a safety-driven approach beyond clinical appearance alone.
Learning Objectives:
Upon conclusion of this activity, attendees will be able to:
Differentiate histopathologic features of common malignant periocular skintumors, including squamous cell carcinoma and basal cell carcinoma, anddistinguish them from benign entities such as seborrheic keratosis.
Identify aggressive histologic patterns (e.g., morpheaform basal cell carcinoma,desmoplastic stromal response, infiltrative growth) and explain their clinicalsignificance and implications for management and referral.
Correlate clinical appearance with histologic findings to avoid misclassificationof skin lesions that mimic benign disease but represent malignancy.
Develop an evidence-based management plan based on biopsy report findings,including appropriate patient counseling, urgency of referral, need for additionalbiopsy, or escalation to surgical or oncologic care.
