A case of eyelid adhesion caused by sebaceous adenocarcinoma and inability to open eyes Maiko Abe 1 , Noriko Himori 1 , Takahiro Ninomiya 1 , Naoyuki Takagi 2 , Takayuki Takeshita 3 , Ryoko Saito 4 , Toru Nakazawa 1 1Department of Ophthalmology, Tohoku University 2Department of Plastic and Reconstructive Surgery, Tohoku University 3Department of Ophthalmology, Osaki Citizen Hospital 4Department of Anatomic Pathology, Tohoku University pp.759-764
Published Date 2020/6/15
DOI https://doi.org/10.11477/mf.1410213593
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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 pseudo-pemphigoid with eye drops, but also to consider sebaceous adenocarcinoma with diffuse lesions as a differential diagnosis.

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