A Rare Case Report of Sebaceous Cell Carcinoma of the Lower Eyelid

The sebaceous gland carcinoma is a very rare, highly malignant tumor of the eyelid arising from sebaceous glands of the eyelid such as meibomian glands, glands of Zeis, and sebaceous glands of the caruncle. We present here a case of 60 year old male with a history of painless swelling in the left lower eyelid of 6 months duration that was gradually progressive in nature. Examination showed a left lower eyelid mass measuring 2cm x 1.5cm extending from the mid point of the lower eyelid to the lateral canthus. The mass was yellowish in color, firm in consistency, non-mobile, non-tender and lobulated. The mass involved palpebral conjunctiva with irregular fungating surface. The skin overlying the mass was adherent. Vision was 6/18 (Rt. Eye) and 6/12 (Lt. Eye) without glasses. Anterior and Posterior segment of left eye was normal. Orbital margins were palpable normally. No proptosis and EOM were normal. CT scan revealed no intraocular extension. No evidence of regional and systemic lymphadenopathy. FNAC of the mass gave the picture suggestive of sebaceous carcinoma. Wide excision of the growth was done and the excised tissue sent for histopathological examination which confirmed poorly differentiated sebaceous cell carcinoma.