Sebaceous carcinoma presenting as a unilateral papillary conjunctivitis.
OBJECTIVE
To describe a previously unreported presentation of sebaceous carcinoma, an aggressive tumor that often presents insidiously with minimal symptoms and nonspecific signs.


METHODS
We report a 71-year-old man who presented with unilateral ocular irritation and ipsilateral, idiopathic, papillary changes of the superior palpebral conjunctiva. The patient underwent incisional biopsy of the palpebral conjunctiva followed by full-thickness excision of the involved eyelid.


RESULTS
Histopathologic examination established the diagnosis of sebaceous carcinoma.


CONCLUSIONS
Unexplained asymmetric, papillary changes of the palpebral conjunctiva should arouse suspicion of sebaceous carcinoma.
Gloor
P
P
Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut 06520-8061, USA. peter.gloor@yale.edu
Ansari
I
I
Sinard
J
J
D018266:Adenocarcinoma, Sebaceous / Q000175:diagnosis* / Q000473:pathology; D000368:Aged; D003231:Conjunctivitis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005142:Eyelid Neoplasms / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D012626:Sebaceous Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology