Nodular basal cell carcinoma (BCC) can present with a spectrum of appearances, but frequently demonstrates features of pearly nodular margins, central ulceration, and destruction of normal tissue architecture. a. BCC of eyelid margin, showing leading pearly edge of tumor, ulcerative erosion, and destruction of eyelid margin architecture, and lash loss. b. BCC affecting anterior lamella, showing classic pearly nodule with telangiectasia and central ulceration. c. BCC of medial canthus, showing features of pearly edges and central ulceration. d. BCC of eyelid margin under magnification, showing telangiectasia and lash loss.