Abstract

We reported a 75-year-old male patient, who had a large tumor mass, about 5×7×4cm, on the left lower eyelid. Histopatholgically, this was sebaceous carcinoma (SC) . Physical examination could not revealed regional lymph nodes swelling. He had advanced hepatocellular carcinoma (HCC) and liver cirrhosis. Wide excision and exenteration and Thiersch's skin graft was performed. He died of HCC. Autopsy was performed. There was no evidence of metastasis of SC to the regional lymph nodes and distant sites.
Sebaceous carcinoma is a rare malignant tumor. It is subdivided into periocular and extraocular type. In periocular type, its size is usually at most thumb finger tip size, larger one is very rare. Our case may be the largest one.