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Article

Sebaceous Carcinoma of the Eyelid Metastasizing to the
Lacrimal Sac after 5 Years

October 2009, Vol. 28, No. 5 , Pages 309-312

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Suryasnata
Rath, MS FRCS,1
Santosh
G. Honavar, MD FACS,1 Vijay
A. Reddy, MD,1 Milind
N. Naik, MD,1 Geeta
K. Vemuganti, MD,2 and Ramesh
Murthy, MS FRCS1

1Ocular Oncology Service, LV Prasad Eye
Institute, Bhubaneswar, India

2Ophthalmic Pathology Laboratory, LV Prasad Eye
Institute, Hyderabad, India

Address correspondence to Suryasnata Rath, MS FRCS, LV
Prasad Eye Institute Patia, Bhubaneswar 751024, India. E-mail: [email-masked]

ABSTRACT

Eyelid sebaceous carcinoma metastasizing to lacrimal sac is rare.
A 65 year old female underwent excision with 5 mm margins and Cutler-beard
reconstruction for a nodulo-ulcerative mass showing eyelash loss in the middle
third of the right upper eyelid. Histopathology confirmed it to be sebaceous
carcinoma with uninvolved margins. Five years after primary excision, the
patient presented with persistent epiphora and mass in the ipsilateral lacrimal
sac region. Repeat excision biopsy and conjunctival map biopsy confirmed
recurrent sebaceous carcinoma of the lacrimal sac. Thirteen months after
adjuvant radiotherapy to the orbit, the patient is alive and well with no
loco-regional recurrence.

Keywords
Recurrent
sebaceous gland carcinoma, Lacrimal
sac, Non-contiguous

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Vijay
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Milind
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