Basal Cell, Squamous Cell, and Melanoma: What’s the Difference?

Senior man experiencing eyestrain, possibly showing early signs of eyelid cancer.

Noticing a new bump or discoloration on your eyelid can be unsettling. When it’s persistent or changes shape, it could point to something more serious, like eyelid skin cancer. Understanding the differences between common cancer types is essential for making informed decisions about your eye and facial health.

At Dr. Daniel Tresley’s practice in Northbrook, IL, you can feel confident knowing you’re working with a highly experienced and credentialed professional. Dr. Tresley is a board-certified ophthalmologist and one of only a few oculoplastic surgeons in the Chicago area. He completed a specialized fellowship in ophthalmic plastic and reconstructive surgery at the Kresge Eye Institute and serves as a Clinical Instructor at Northwestern University.

What Is the Difference Between Basal Cell and Squamous Cell Carcinoma?

These two cancers are the most frequently diagnosed eyelid skin cancer types. Though both can appear similar at first, they differ in growth behavior and treatment urgency:

Basal Cell Carcinoma Eyelid

  • Slow-growing: Often appears as a pearly bump with small blood vessels.
  • Rarely spreads: Typically remains localized.
  • Commonly caused by UV exposure: Especially in people with fair skin or light-colored eyes.

Squamous Cell Carcinoma Eyelid

  • Faster growing: Can develop into a scaly, red patch or ulcer.
  • Potential to spread: More likely to invade nearby tissues.
  • Linked to long-term sun damage: Also associated with immune suppression.

Both require surgical excision to prevent further tissue damage, especially when located near the eyes, where precision is crucial.

Signs of Melanoma Near the Eye

Melanoma is far less common but significantly more dangerous. Recognizing symptoms early can drastically improve outcomes:

  • Dark, irregularly shaped growths on the eyelid or nearby facial areas.
  • Color changes within an existing mole.
  • Rapid enlargement or asymmetry.
  • Bleeding or crusting.

Because melanoma on eyelid can metastasize, treatment often involves MOHS surgery followed by eyelid reconstruction to preserve appearance and function. 

How to Tell if a Bump on Eyelid Is Cancer

While not all eyelid bumps are cancerous, it’s wise to schedule an evaluation if you notice:

  • A lesion that bleeds, crusts, or doesn’t heal.
  • Eyelash loss near the bump.
  • Persistent swelling or thickening.
  • Changes in skin texture or pigmentation.

The best course of action is a consultation with an experienced specialist like Dr. Tresley, who can determine the need for biopsy or removal.

Find Expert Eyelid Cancer Care in Northbrook

Have concerns about a bump or discoloration near your eye? Call 847-291-6900 today for personalized care backed by years of trusted surgical experience.

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“My ophthalmologist referred me to Dr. Tresley as I had a drooping eyelid which was causing me to really strain to see images, read etc.”

– Delfina Torres

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