A case of eyelid adhesion caused by sebaceous adenocarcinoma and inability to open eyes

Maiko Abe, Noriko Himori, Takahiro Ninomiya, Naoyuki Takagi, Takayuki Takeshita, Ryoko Saito, Toru Nakazawa

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To report a case of eyelid adhesion caused by sebaceous adenocarcinoma that progressed diffusely, making it impossible to open the eye. Case: 78-year-old male. An irregular mass appeared in the upper left eyelid, and the fissure adhered, making it impossible to open the eye. Observation: A biopsy and histological analysis suggested sebaceous gland cancer, and an imaging analysis suggested that the tumor had infiltrated the eyeball. Lymph node metastasis and multi-organ metastasis were not observed. Under general anesthesia, the left orbital contents were removed. Reconstruction with skin graft was performed jointly with plastic surgery. Eleven months after surgery, metastasis in the left cervical lymph node was confirmed in an FDG-PET analysis. Conclusion: In cases of refractory chronic conjunctivitis, it may be necessary not only to treat pseu-do-pemphigoid with eye drops, but also to consider sebaceous adenocarcinoma with diffuse lesions as a differential diagnosis.

Original languageEnglish
Pages (from-to)759-764
Number of pages6
JournalJapanese Journal of Clinical Ophthalmology
Volume74
Issue number6
Publication statusPublished - 2020

ASJC Scopus subject areas

  • Ophthalmology

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