Case Report

Advanced Sebaceous Gland Carcinoma of the Eyelid in a Pthisical Eyeball Managed by Exenteration with Skin Grafting

Surekha Bangal, Satish Sonawane, Dharmdip Patel, Akshay Bhandari and Waman Chavan
World Journal of Surgical Medical and Radiation Oncology 2014, 3:13

Abstract

Sebaceous gland carcinoma is rare malignant neoplasm involving eyelids having aggressive local behaviour and metastasis to regional lymph nodes and distant organs.A 59 year old male presented with growth involving left upper and lower eyelid since two years. His vision in right eye was 20/40 and left eye was no PL. There were multiple nodular swellings involving whole upper lid, lateral canthus and lateral half of lower eye lid. Eye ball structures were not visible. MRI orbit was suggestive of heterogeneously enhancing lesion seen on anterolateral aspect of left globe involving orbicularis oculi, lacrimal gland, lateral, superior and inferior recti and inferior oblique along with orbital fat. The eyeball was pthisical. CT brain showed no intracranial extension. Biopsy was suggestive of sebaceous gland carcinoma. Left orbital exenteration was done with skin grafting. Exenteration is currently performed less often but it is still indicated for advanced and diffuse sebaceous gland carcinoma with orbital invasion.

Keywords

Eye lid, Sebaceous gland carcinoma, exenteration, skin grafting

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