Sebaceous carcinoma of the eyelid: a rarity worth considering

Two weeks later a total resection of the upper lid with rapid section examination of the resection margins was carried out as well as the extirpation of the lymph node and an underlying metastasis beneath the parotid gland. Because the rapid section examination from the lateral mucosal border did no...

Full description

Saved in:
Bibliographic Details
Published in:British journal of ophthalmology 2002-02, Vol.86 (2), p.243-244
Main Authors: Gardetto, Alexander, Rainer, Christian, Ensinger, Christian, Baldissera, Ivo, Piza-Katzer, Hildegunde
Format: Article
Language:English
Subjects:
Adenocarcinoma, Sebaceous - diagnosis
Aged
Eyelid Neoplasms - diagnosis
Humans
Letter
Lymphatic system
Male
meibomian carcinoma
Metastasis
Mortality
Radiation therapy
Sebaceous Gland Neoplasms - diagnosis
Skin & tissue grafts
surgical eyelid reconstruction
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Two weeks later a total resection of the upper lid with rapid section examination of the resection margins was carried out as well as the extirpation of the lymph node and an underlying metastasis beneath the parotid gland. Because the rapid section examination from the lateral mucosal border did not show any infiltration with tumour tissue, we decided to do a three layered primary reconstruction of the upper lid with a pedicled temporal island flap covered with a full thickness skin graft from the contralateral upper lid. If the tumour is very large or recurrent with demonstrated spread to bulbar conjunctiva, to the other eyelid, or to orbital tissue, a subtotal or complete exenteration may be necessary. 5- 7 If evidence of spread to regional lymph nodes is present a lymph node or radical neck dissection should be performed, 8 usually combined with partial parotidectomy. 3 An alternative to the surgical excision is the radiation therapy with a total dose of >50 Gy. 9 Radiation therapy may be considered as an adjunct to local surgery.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.86.2.243