[Multidisciplinary management of an anaplastic sebaceous carcinoma of the eyelid in a 40-year-old woman].
METHODS
A 40-year-old woman was referred to our department due to an apparent indolent anterior blepharitis with an indurated node in her right upper eyelid, which had persisted for months. It was believed to be a chalazion associated with an ipsilateral swollen pre-aurical lymph node, which had not responded to conventional treatment. The extemporaneous biopsy was reported as sebaceous carcinoma. Complete exeresis was performed on that eyelid and it was reconstructed with a palate mucosa graft and a glabelar flap. A radical neck dissection was performed later, in order to remove the lymph nodes that appeared necrotic in several lymphatic areas. A biopsy was also performed on the lower eyelid, which was reported as positive for carcinomatous infiltration, and therefore it was treated with Curie-therapy.


CONCLUSIONS
The precocity in diagnosing sebaceous carcinomas of the eyelids is the main prognostic factor. The reconstruction in cases with need of complete eyelid exeresis is feasible by means of a palate mucosa graft. In our case, both the anaplastic character and the high aggressiveness of the neoplasm were a therapeutic challenge.
Gallego-Pinazo
R
R
Servicio de Oftalmología, Hospital Universitario La Fe, Valencia, España. robertogallego@comv.es
España Gregori
E
E
Aviñó Martínez
J
J
Salom Alonso
L
L
Tormo Micó
A
A
Villanueva Martí
R
R
Díaz-Llopis
M
M
D018266:Adenocarcinoma, Sebaceous / Q000473:pathology / Q000601:surgery; D000328:Adult; D005142:Eyelid Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D010348:Patient Care Team