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Eyelid abscess masking underlying sebaceous cell carcinoma
Colin Bacorn1, Esther Kim1, Lily Koo Lin1
1Department of Ophthalmology and Vision Science, University of California Davis Health, Sacramento, California, USA.
Sebaceous cell carcinoma can mimic eyelid abscesses. Prompt histologic examination is crucial for accurate diagnosis and treatment of atypical or persistent periorbital infections.
Area of Science:
- Ophthalmology
- Dermatology
- Oncology
Background:
- Sebaceous cell carcinoma (SCC) is an uncommon malignant eyelid tumor.
- It is known for its ability to mimic benign or other malignant eyelid conditions, earning it the moniker "great masquerader".
Observation:
- A middle-aged male presented with a subacute left upper eyelid abscess.
- Initial treatment with incision and drainage and broad-spectrum antibiotics did not resolve the condition.
Findings:
- Histologic examination revealed malignant sebaceous cell carcinoma.
- The tumor presented with deceptive clinical and radiographic features, resembling a typical abscess.
Implications:
- This case underscores the importance of considering sebaceous cell carcinoma in the differential diagnosis of periorbital abscesses.
- Histologic evaluation is essential for atypical or refractory cases to ensure correct diagnosis and management of eyelid malignancies.
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