K. Srinivasa Rao1, M. Vijaykumar2, G. Ravichandra3, I. Lakshmi Spandana4
INTRODUCTION: Sebaceous gland tumor of the eyelids may arise from the meibomian glands, glands of Zeis or glands associated with the caruncle. They are included in the list of tumors of the epidermal appendages, so-called adnexal skin structures. Sebaceous gland carcinoma1 (SGC) might be the second most common lid malignancy after basal cell carcinoma (BCC). Its multifocal origin and pagetoid spread give it a unique place among eyelid malignancies. Sebaceous glands are located in the periocular skin, caruncle, and eyebrow skin follicles. The tumor is a very rare, slow growing, and commonly found in elderly population with female predisposition. Mean age at diagnosis is mid-sixties; however, the tumor has been reported in children as young as 3.5 years old. It is rare in Caucasians and common in oriental Asiatics. SGC most commonly arises from the meibomian glands2 anterior to the gray line, occasionally from the glands of Zeis or Moll, and from sebaceous glands in caruncle3; however, the cell of origin may not be certain in 50–60% of cases.3 In contrast to basal cell carcinoma (BCC) or squamous cell carcinoma (SCC), SGC is two to three times more common in upper eyelid due to more number of meibomian glands 4 there.
PRESENTATION OF CASES: In the department of ophthalmology, G.S.L medical college, Rajahmundry, we came across a 52 years old female with recurrent swelling of left eyelid from past 4 years.