One Case of Sebaceous Carcinoma that Masquerades as a Chronic Unilateral Blepharo conjunctivitis.

Sohn, Seung Wan; Park, Seh Kwang; Roh, Joo Heon

Case Report

Journal of the Korean Ophthalmological Society 2000;41(2):521-525.
Published online February 1, 2000.

One Case of Sebaceous Carcinoma that Masquerades as a Chronic Unilateral Blepharo conjunctivitis.

Seung Wan Sohn, Seh Kwang Park, Joo Heon Roh

Department of Ophthalmology, Gospel Hospital, The Kosin University.

편측 만성 안검 결막염으로 가면 ( Masquerade ) 된 피지선암 1 례

노주헌(Joo Heon Roh),손승완(Seung Wan Sohn),박세광(Seh Kwang Park)

Abstract

Sebaceous carcinoma of the eyelid is a rare tumor that usually arises from tarsal sebaceous gland. Because the clinical manifestations can masquerade as unilateral recurrent chalasion or chronic blepharoconjunctivitis, its diagnosis may be delayed. Therefore, early biopsy for diagnosis is needed for the persistently recurring unilateral blepharoconjunctivitis. The masquerade syndrome was first described in 1967 by Theodore and Irvine as chronic blepharoconjunctivitis due to an underlying conjunctival carcinoma. While the originally described neoplasms were squamous cell carcinomas, many of the tumors producing this clinical picture are believed to be sebaceous in origin. We experienced a case of pathologically confirmed sebaceous carcinoma of the eyelid which originally masqueraded as chronic blepharoconjunctivitis and was treated with topical antibiotics and steroids for 1 year and 8 months, finally being treated by partial orbital exenteration.

Key Words: Blepharoconjunctivitis;Masquerade syndrome;Sebaceous carcinoma