Fig. 1

Photographs of our patient. A, nodular lesion appearing like a ruptured chalazion in the mid-lower lid margin at the first visit. B, after surgical excision with a safety margin of 5 mm and 7 negative frozen biopsies, the incision line was designed at the upper conjunctiva for a tarsoconjunctival advancement flap (modified Hughes procedure) with a green corneal protector. C, the tarsoconjunctival advancement flap reconstruction for the posterior lamella and myocutaneous advancement for anterior lamella reconstruction were performed. D, no recurrence was observed 4 years and 5 months after the surgery