Page 47 - PowerPoint Presentation

Sebaceous carcinoma

 A rare but aggressive tumour arising from
Meibomian gland, Zeiss gland or sebaceous

gland

 Eyelid / periocular is the most common site of
presentation

 Can occur elsewhere as well

 Predominantly in elderly population

 Female predominance (2:1)

 Appears as erythematous raised nodules that
slowly increase in size +/- ulceration

 May be mistaken as chalazion, blepharitis
or cicatricial pemphigoid

 Biopsy is necessary for any suspicious

lesions

 Treatment: Surgical excision with at at least

1.5cm mqrgin. Orbital exenteration is often
indicated in tumours involving eyelids.

An elderly gentleman with sebaceous carcinoma involving left
medial upper eyelid. Wide resection and orbital exenteration
was performed. The defect was reconstructed with a free
anterolateral thigh flap.