title: Selective removal of sebaceous gland carcinoma of the lower eyelid with orbital infiltration.
abstract: A 74-year-old woman presented with a nodule on the right lower eyelid. An incisional biopsy was significant for sebaceous gland carcinoma, whereas magnetic resonance imaging revealed infiltration of the ipsilateral orbit, including the medial and lower rectus muscles. The lesion was selectively excised, including the infiltrated part of the lower lid and the intraorbital part of the tumor. Two years postoperatively, no recurrence or metastasis have been noted. Preoperative orbital imaging is mandatory in cases of sebaceous gland carcinoma because it can reveal clinically silent orbital invasion. In such cases, selective surgical excision may be used, avoiding orbital exenteration.
authors.affiliation: Department of Ophthalmology, Democritus University of Thrace, Greece.
authors.forename: Efstathios T
authors.initials: ET
authors.lastname: Detorakis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Ioannakis
authors.forename: Alexandra
authors.initials: A
authors.lastname: Giatromanolaki
authors.forename: Efthimios
authors.initials: E
authors.lastname: Sivridis
authors.forename: Eleni
authors.initials: E
authors.lastname: Drakonaki
authors.forename: Vassilios P
authors.initials: VP
authors.lastname: Kozobolis
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D013508:Ophthalmologic Surgical Procedures; D009915:Orbit / Q000473:pathology / Q000601:surgery*; D012626:Sebaceous Gland Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*