Subject(s)
Humans , Adenocarcinoma, Sebaceous/diagnosis , Adenocarcinoma, Sebaceous/physiopathology , Adenocarcinoma, Sebaceous/rehabilitation , Carcinoma/diagnosis , Carcinoma/physiopathology , Carcinoma/rehabilitation , Lupus Erythematosus, Systemic/diagnosis , Lupus Erythematosus, Systemic/physiopathology , Lupus Erythematosus, Systemic/rehabilitation , Epidermis/abnormalities , Epidermis/physiopathology , Epidermis/injuries , Epidermodysplasia Verruciformis/diagnosis , Epidermodysplasia Verruciformis/physiopathology , Epidermodysplasia Verruciformis/rehabilitation , Fibroma, Ossifying/diagnosis , Fibroma, Ossifying/physiopathology , Fibroma, Ossifying/rehabilitationABSTRACT
Sebaceous carcinoma of the eyelid, although rare, carries a grave prognosis when diagnosed late. It may be mistaken by the unsuspecting ophthalmologist for a chalazion or chronic blepharoconjunctivitis. Six cases are presented. Three patients were in their fifth decade and the remaining three were over seventy. The latter group presented with advanced local disease and had poorly differentiated tumours. The two oldest patients died of metastasis within 54 months of presentation despite total excision of the lid tumour. This review demonstrates the problems encountered in diagnosis and management.
Subject(s)
Adenocarcinoma, Sebaceous/surgery , Eyelid Neoplasms/surgery , Postoperative Complications/physiopathology , Adenocarcinoma, Sebaceous/diagnosis , Adenocarcinoma, Sebaceous/physiopathology , Adult , Aged , Aged, 80 and over , Blepharitis/diagnosis , Blepharitis/physiopathology , Chalazion/diagnosis , Chalazion/physiopathology , Diagnosis, Differential , Eyelid Neoplasms/diagnosis , Eyelid Neoplasms/physiopathology , Female , Humans , Male , Middle Aged , SingaporeABSTRACT
Sebaceous adenomas and squamous cell carcinoma developed in a male patient in addition to viral, mycotic and bacterial infections, several years after the removal of three malignant tumors from his lower gastrointestinal and urinary tract. Skin tests with trichophytin, candidin, and mixed bacteria were negative. Various aspects regarding cutaneous changes associated with colorectal and bladder carcinomas are discussed.
