Treatments for Eyelid Tumours
The best way to treat a BCC is to remove it entirely, confirm it has all been removed and then plan to repair the the eyelid to give the best functional and cosmetic result possible.
The gold standard (best) treatment for eyelid (periocular) BCCs is Mohs' micrographic surgery.
The Mohs' surgeon is a consultant dermatologist who has specialist training to remove a skin cancer with a special technique (Mohs' surgery) and check under the microscope that all the cancer has been removed. If need be the Mohs' surgeon can go back and remove some more until all the cancer has been removed but as much as possible of the normal skin has been left intact.
Mohs' surgery is particularly valuable for eyelid cancers where it is crucial to leave as much normal eyelid as possible yet remove the cancer in it's entirety.
Mohs' surgery has the best cure rate of all techniques (for BCC there is a 99% 5 year cure rate ie. 99% of patients will have no recurrence of the tumour within 5 years of treatment).
Rarer (but often more aggressive) malignant eyelid tumours include squamous cell carcinomas (SCC), sebaceous gland carcinomas (SGC), Merkel cell carcinomas and melanomas.