Rare Sebaceous Gland Carcinoma Eyelid of an Elderly Patient: Successful Oculoplastic Surgery

One uncommon malignant tumor that develops on the eyelids is called sebaceous gland carcinoma (SGC). In clinical appearance, it might resemble other benign or malignant tumors, such as squamous cell carcinoma (SCC), basal cell carcinoma, and chalazion. The histopathological diagnosis is the mainstay for diagnosis and is often challenging. We describe a case of SGC in a 70-year-old male who presented with a pedunculated or horn-like, ulcerated lesion that covered with necrosed tissue involving the left upper eyelid, lid margin, and lateral canthus. Clinically, we suspected a diagnosis of SCC. Upon complete resection of the lesion, the final diagnosis was SGC based on the histopathological features and immunohistochemical staining characteristics of the tissue. When diagnosing SGC, ophthalmologists must have a high index of suspicion because the condition may show similarly to other lesions. For proper care to avoid metastasis or recurrence linked to advanced tumors, early and precise detection of such lesions is essential.