Year: 2024
Type: article
Study design: Case Report
Abstract: Sebaceous gland carcinoma (SGC), or meibomian gland cancer is infamous for its aggressive local Invasiveness and ability to metastasize and mimic a variety of benign and malignant clinical entities. The current case provides an overview of the demographics, clinical presentations, management and results of disfiguring processes called orbital exenteration (OE), which frequently entails taking everything out of the orbit, Including the eyelids, appendages, periorbita, as well as sometimes a varied amount of surrounding skin. The significant increase in average life expectancy and the resulting greater frequency of invasive malignant skin cancers of the face, which are characteristic of advanced age, account for the increased incidence of exenterations in older patients. A variety of surgical techniques for orbital ectodermal excision have been developed in the last several decades. These techniques include ablative surgery, complete OE, extended OE and subtotal or eyelid-sparing OE. It is feasible to do other operations, such as lymph node dissection, concurrently with SGC instances. Surgery used to treat these serious illnesses frequently results in mutilation. We are reporting a 70-year-old patient with sebaceous carcinoma of the left eyelid whose whole left side eyeball was taken out by OE surgery. This patient was admitted to our hospital with the main clinical feature showing ulceration and swelling over the left orbital. Meanwhile, histological analysis revealed sebaceous carcinoma with perineural invasion and involvement of optic nerve. The patient underwent wide local excision with reconstructive eyelid surgery.
Authors: Vishal Shriram Ghule, Lokesh Singh, Atul Chavhan, Shruti Mandviya, Albert Paul Varghese, Ashish Jivani
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4407286875