Abstract
A 43-year-old male had a malaise with his left eye in December 1994. A tumor of the palpebral conjunctiva of the left upper eyelid was excised in an ophthalmological clinic in March 1995. Histological diagnosis was mucoepidermoid carcinoma. Wide local excision was performed, and the tumor located at the palpebral conjunctiva of left upper eyelid was excised with a safety margin of 5-10mm. The defect was reconstructed using switch flap and cheek flap. There had been no recurrence for 5 years after surgery. However in December 2002a tumor of the palpebral conjunctiva of the left upper eyelid presented, and an immediate biopsy revealed that the tumor was a recurrence of the mucoepidermoid carcinoma. Additional excision of the palpebral conjunctiva of the left upper eyelid and radiation were performed. There has been no local recurrence or distant metastasis for 3 years after the second surgery. [Skin Cancer (Japan) 2006; 21: 293-297]
