Case report reveals that an eyelid lesion previously mistaken for a chalazion shows sebaceous gland carcinoma after biopsy, indicating importance of thorough examination.
A 60-year-old female with a 2-month history of itching in both eyes was incidentally found to have a yellowish lesion on the tarsal surface of the right upper eyelid. It had been previously diagnosed as a burst chalazion with granuloma and treated conservatively. The lesion was deemed suspicious after careful evaluation. An incision biopsy confirmed sebaceous gland carcinoma (SGC). The patient underwent a full-thickness wide excision with safe margins and eyelid reconstruction. SGC may have variable presentations, and a careful examination is necessary to diagnose the disease in early stages.
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Kaur et al. (2026) studied this question.
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