ABSTRACT
In general, a malignancy should be removed completely without regard to reconstruction. The reconstructive procedure would then be devised after the tumor is completely removed. However, in some cases a complete removal of the tumor might result in a situation in which the eyelids cannot be reconstructed. Therefore, the globe would not be protected. In this instance, the surgeon should realize that complete removal of the tumor would necessitate loss of the eye. Sometimes the eye must be sacrificed, with the potential of saving a life, in order to completely eradicate the tumor. However, this situation should be recognized prior to surgical removal of the tumor so that other avenues of treatment can be considered.
