Abstract

We reported a case of meibomian gland carcinoma on the right upper eyelid in a 79-year-old woman. A microscopic examination of the tumor revealed multiple lobules consisting of atypical foamy and undifferentiated basophilic cells. Following excision of the tumor, the modified Mustardé's flap was used for reconstruction of upper eyelid. For vertical upper eyelid defect greater than 40%, it is possible to get good appearance by using this technique. For lower lid defects greater 40%, a cheek flap is used.
It is emphasized that the primary excision with an adequate safety margin in the treatment of this carcinoma is needed, because this tumor is apparently one of the most malignant tumor of the eyelid.