- Do you have a painless, yellowish mass of growth occurring on your eyelid?
- Does this cause loss of your eyelashes?
- Does this growing eyelid mass sometimes bleed?
- Do you experience distortion in your eyesight due to this lesion in eyelid?
- Is it bothering you that this eyelid mass (which some doctors can confuse with a benign lesion like a chalazion or a stye) is recurring again and again, even after removal?
This abnormality is referred to as sebaceous carcinoma of the eyelid and can be cured by sebaceous carcinoma surgery.
What is Sebaceous Carcinoma Eyelid Surgery
Sebaceous carcinoma is a rare form of skin cancer that develops in the sebaceous glands of the skin. It can be very dangerous, because it can metastasize to other organs of the body. The sebaceous glands are the glands that function to keep the skin and the eye moist and these are present in greater amount around the eyes. That’s why most of thesebaceous gland carcinomas develop on the eyelids. Also, this growth has more chances of occurring in the upper eyelid due to greater abundance of meibomian glands (a special kind of sebaceous glands at the rim of the eyelids).
Sebaceous gland carcinoma procedures
A number of treatment options (surgical and non-surgical) are available for treatment of this disease. The frozen section pathological analysis allows very thin sections of the skin tissue to be prepared after excising and freezing the sample to –20 to –30 °C. A gel like medium is used to fix and freeze the specimen before making very thin sections and subsequently staining them and viewing under microscope.
Mohs micrographic surgery involves removing skin containing cancer layer by layer and microscopic analysis of each layer until no more tumor can be observed in the cells. This technique ensures maximal removal of cancer and minimum loss of normal skin.
In laser therapy, specific kind of laser can be used for the removal of skin or laser can be targeted at the cancer cells to shrink or destroy them and thus helping in relieving symptoms of the cancer. Although it can be used alone, it is usually applied in combination with other treatments.
Radiation treatment of sebaceous gland carcinoma requires no use of anesthesia and directs X-ray beams at the cancer cells. This technique is preferred when surgical method is not preferable, and involves multiple treatments per week. However, radiation therapy has radiation risks associated with it so may cause other problems.
Another procedure, cryodestruction may be preferred for some patients of sebaceous carcinoma of the eyelid. The technique is based on freezing the tissue (e.g. Using liquid nitrogen) to bring about the destruction of the tumor cells without having to use anesthetics. Repetition of the procedure is performed to ensure complete destruction of tumor cells. The cure rate of this technique, however, is generally lower than surgical methods.Top of Form
Recovery after Surgery
Recovery is linked to the type of treatment applied for sebaceous gland carcinoma therapy and is also dependent on some other factors like the size of skin removed by surgery. Certain precautions may be recommended during the recovery process.
FAQs (Frequently Ask Question)
Why sebaceous gland carcinoma mostly develops on the eyelid?
Since sebaceous gland carcinoma develops in the sebaceous glands and the number of sebaceous glands in the area around the eyes is greatest in your body, the tumor tends to develop in that area.
Can this disease be easily diagnosed?
Early diagnosis of this disease is difficult and hampered by the difficulty in differentiating other conditions (like inflammatory conditions, infectious diseases, autoimmune diseases and some other tumors) from this cancer due to the similarity in the early manifestations. In the eyelid, the sebaceous cancer can be commonly confused even by ophtthalmologist’s as a chalazion or a stye or some infection of the eyelid. The diagnosis can, henceforth, be delayed for months to years. Diagnosis is performed by biopsy and evaluation histopathology.
Can this cancer be life threatening?
Yes, sebaceous carcinoma of eyelid can be life threatening if it is metastasized (as it has a high malignancy rate)and spreads to other parts of the body like bone, lungs, lymph nodes and liver. Therefore,this kind of growth should be readily checked by the oculoplastic surgeon as soon as possible.
What factors contribute to increased risk of sebaceous carcinoma?
Some of the factors contributing to increased risk of sebaceous carcinoma of eyelid include any previous exposure to radiations (e.g. while treating some other conditions like retinal cancers or retinoblastoma), Muir Torre syndrome, immunosuppression, use of thiazide diuretic drug and any mutation in the tumor suppressor gene (p53).
What flaps are used in treatment of sebaceous gland cancers in the eyelid?
Small upper eyelid masses can be removed by a direct pentagon excision of the eyelid and a wedge resection. The eyelid can then be directly closed.
For eyelid defects greater than 30% of the eyelid size, a Tenzel’s semicircular flap may have to be performed. In a Tenzel’s flap, a curved semicircular flap is used post lasteralcanthotomy and cantholysis, in order to create the eyelid. While this type of treatment gives a great eyelid contour, the patient needs to be informed that he will never have eyelashes in the lateral portion of the eyelid.
For eyelid defects greater than half the eyelid size, a Cutler Beard flap may be needed. In a Cutler Beard reconstruction flap, the tissue is migrated from the opposite eyelid. Therefore, the patient cannot see from the eye for 6 weeks to three months, until the bridge flap is divided in stage 2 of Cutler Beard Surgery.
Mustarde’s Cheek Rotation Flaap may also be used to correct the upper eyelid defects, which are larger.
Sebaceous Carcinoma Eyelid Surgery Before After Photos, See the Patient Result-
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What is the cost of Sebaceous Carcinoma Eyelid Surgery?
It can be stressful and painful to suffer from any lesions around your eyes. In such cases, consulting a specialist immediately must be your first step. Cosmetic and reconstructive surgery can make sure that the sebaceous carcinoma on your eyelid is removed and your appearance restored to normal.
It is no doubt a daunting experience to be told that you have a malignant tumor. Your first concern about undergoing surgery would naturally be the cost of if the procedure. The cost of sebaceous carcinoma eyelid surgery depends on many factors, among which one of them is the type of surgery you require. Please rest assured that in India, extremely high quality medical care is available at relatively lower costs compared to other countries.
At The Esthetic Clinic, we are deeply committed to providing you with high quality care during your surgery and recovery period. Our leading cosmetic surgeon, Dr. Debra Shome, is one of the leading oculoplastic surgeons in the world. With the best equipment, and latest available techniques, we make sure that your surgery is completely safe and effective.
The Esthetic Clinic is a highly specialised medical centre which focuses on all kinds of cosmetic and reconstructive surgery. Our medical head and founder, Dr. Debraj Shome, has a very high surgical success rate when it comes to eyelid surgery and tumour removal. You can rest assured that at The Esthetic Clinic, you will receive expert attention and excellent care.
About Dr. Debraj Shome
Dr. Debraj Shome – Founder, The Esthetic Clinic, is a top facial plastic surgeon. Dr. Shome is currently a Consultant at the best Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Holy Family Hospital & Nova Specialty Hospital in Mumbai, India. He has 40+ research papers in international journals, numerous presentations at conferences & many awards such as “Best Plastic Surgeon in Mumbai”, “Top 10 Cosmetic Surgeon in India”, Best Oculoplastic Surgeon India”, etc. A celebrity plastic surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life …Read more
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