The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Sebaceous cell carcinoma

Photo by Professor Chua Chung Nen and Dr. Ngo Chek Tung

This 53 year-old woman presented with a left upper eyelid lesion that grew rapidly. The lesion was yellowish in colour and appeared to arise from the tarsal plate. The eyelashes were also destroyed. A biopsy confirmed poorly differentiated sebaceous cell carcinoma. The eyelid lesion was excised with a 5mm clear margin and conjunctival biopsies were taken to exclude pagetoid spread. The defect was closed using reversed Tenzel's flap.


A destructive lesion in the left upper eyelid.


Lesion arising from the tarsal plate with loss of eyelashes.


Shrinkage of the lesion following biopsy. The lesion was excised with 5 mm clear margin

and conjunctival biopsies. The defect was closed with reversed Tenzel's flap.


Eyelid appearance one week post-tumour excision.

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