Pigmented basal cell carcinoma of the eyelids.

In a retrospective study of 100 cases of basal cell carcinoma treated by surgical excision, we found nine pigmented lesions. The clinical diagnosis of pigmented basal cell carcinoma of the eyelid was rarely considered and the lesion was often misdiagnosed as a melanoma. The pigmented basal cell carcinoma was no different from the nonpigmented basal cell carcinoma with respect to the sex and age of the patients and the locations, durations, and recurrence rates of the lesions.