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

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

a

a

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.

Next Oculoplastic Case