Multidisciplinary Management of Sebaceous Gland Carcinoma of Upper Eyelid with Regional Lymph Node Metastasis

Sebaceous gland carcinoma (SGC) of ocular adnexa is a highly malignant, multifocal in origin seen in elderly. SGCs are known to have highly virulent course of progression with more tendency to metastasize locally and systemically resulting in poor outcome. We managed a case of SGC in 55 years old with multimodality treatment consisting of surgical excision, chemotherapy for tumor bulk reduction and radiotherapy. This offered her long disease free survival. Aggressive behavior of SGC for early metastasis is associated with high mortality. Hence high index of suspicion for diagnosing SGC in ophthalmic practice is the key for better survival of the patient. Key words: sebaceous gland carcinoma, eyelid, chemotherapy, radiotherapy, metastasis.

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