Maheshwari Rajat, Maheshwari Sejal, Shekde Satish
Ophthalmic Plastic Service, Shri Ganapati Netralaya, Jalna, Maharashtra, India.
Indian J Ophthalmol. 2007 May-Jun;55(3):217-9. doi: 10.4103/0301-4738.31944.
Sebaceous carcinoma of the ocular adnexa is a malignant neoplasm which can exhibit aggressive local behavior and can metastasize to regional lymph nodes and distant organs. The neoplasm is known to masquerade as other benign and less malignant lesions, resulting in delay in diagnosis and relative high morbidity and mortality. Fine needle aspiration cytology (FNAC) of recurrent upper eyelid nodules treated elsewhere as chalazion was done. Cytological smears were suggestive of malignancy. Subsequently histopathology confirmed the diagnosis of sebaceous gland carcinoma. Eyelid reconstruction was done after histopathologically confirmed tumor-free margins. The article highlights the role of FNAC in early diagnosis and subsequent appropriate surgical management of eyelid sebaceous gland carcinoma to prevent recurrence and metastasis.
眼附属器皮脂腺癌是一种恶性肿瘤，可表现出侵袭性的局部行为，并可转移至区域淋巴结和远处器官。已知该肿瘤会伪装成其他良性和恶性程度较低的病变，导致诊断延迟以及相对较高的发病率和死亡率。对曾在其他地方被当作睑板腺囊肿治疗的复发性上睑结节进行了细针穿刺细胞学检查（FNAC）。细胞学涂片提示为恶性。随后组织病理学确诊为皮脂腺癌。在组织病理学确认切缘无肿瘤后进行了眼睑重建。本文强调了FNAC在眼睑皮脂腺癌早期诊断及后续适当手术治疗中的作用，以预防复发和转移。
