Atypical pT3 Sebaceous carcinoma of eyelid- case presentation
Author: Anna Gkountelia
Base Hospital / Institution: BHRUT, Queen’s Hospital, Romford, UK
ePoster presentation
Abstract ID: 24-169
Purpose
We present a rare case of pT3 Atypical sebaceous carcinoma of eyelid with acute ophthalmic presentation from a district general hospital in London, UK.
Methods
A case report and literature review.
Results
A 55-yo male presented with history of right upper lid persistent inflammation, progressing rapidly despite topical treatment for chalazion provided by his GP and local optician. from the clinical examination he had an inflamed, painful area on the right upper lid, involving the grey line, with signs of bleeding, intact overlying skin and calm underlying conjunctiva, growing rapidly.
Urgent full thickness wide excisional biopsy of the right upper eyelid, including the lateral canthus area has been performed as treatment of choice. The histology has shown a fully excised pT3 sebaceous carcinoma with clear margins, no PNI/LVI, but pT3 on basis of depth. Adjuvant radiotherapy has been considered but because of wide excision and clear margins hasn’t been applied following decision of the MDT meeting.
Conclusion
Malignant eyelid lesions may appear similar to, and in many cases arise from, benign or pre-malignant lesions. A thorough history, careful observation, and prompt referral for biopsy are critical for improved outcomes.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Wessam | Mina | BHRUT, Queen’s Hospital, Romford, UK |
