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Journal of Case Reports
Cytodiagnosis of Sebaceous Carcinoma of Eyelid
Vaishali A. Walke, Shubhangi V. Aagle, Vikas C. Maindad, Wasif Ali Khan, Grace F D’Costa
From the Department of Pathology, Grant Govt. Medical College & Sir J. J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India.
Corresponding Author:
Dr. Vaishali A. Walke
Email: drvaishaliw@yahoo.com
Received: 15-MAR-2013 Accepted: 22-MAR-2013 Published Online: 10-APR-2013
DOI: http://dx.doi.org/10.17659/01.2013.0027
Abstract
Sebaceous carcinomas of the eyelid, often masquerades as benign and less malignant lesions probably due to low incidence and non-specific clinical symptoms ultimately leading to delay in diagnosis. However, it exhibits aggressive behavior; pagetoid spread and can metastasis to regional lymph node. Fine needle aspiration was done from nodular lesion over right lower eyelid in a 50 year female who presented with diffuse swelling of the right eye. The cytomorphology favoring sebaceous carcinoma were cellular, loosely cohesive cell clusters having moderate to abundant multi-vacuolated cytoplasm, pleomorphic nuclei, prominent nucleoli and lipid rich background. Subsequent histopathology confirmed the diagnosis. This article highlights the role of FNA as a safe and effective tool in early diagnosis and subsequent managements of sebaceous carcinoma in order to prevent recurrence and metastasis.
Keywords : Sebaceous Gland Adenocarcinoma, Skin Neoplasms, Basal Cell Carcinoma, Fine Needle Biopsy.
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