Dr. RESHU MALHOTRA

Dr. SANTOSH SINGH PATEL, Dr.Mangilal Garg, Dr.Rajesh

Abstract

Sebaceous gland carcinomas are highly malignant lid tumor which originate from meibomian glands and rarely from gland of Zeis, sebaceous gland of caruncle, eyebrows and periocular skin. Advanced sebaceous gland carcinoma is a tumor associated with poor prognosis. In this study we discuss key elements of primary disease and modalities to treat such a condition.

An eighty-year-old patient presented with right upper eyelid mass. Contrast enhanced computed tomography showed large heterogeneously enhancing exophytic soft tissue density mass lesion with few hyperdense foci noted involving skin and subcutaneous tissue. An excisional biopsy was performed. A diagnosis of sebaceous cell carcinoma was confirmed on histopathology.

Early diagnosis and management of such cases may decrease long term morbidity and extend the survival rate of such patients. Even in late stage presentations, multidisciplinary approach at tertiary care center can give good results.