Fantastic stuff Philip. As a trainee I sometimes mistake an exam case which was sebaceoma as sebaceous carcinoma. I guess in sebaceoma lots of mitoses are allowed and a great preponderance of basaloid/germinative cells are allowed. Are these the features to call it sebaceous carcinoma?: any necrosis, any atypical mitosis, doing LVI or PNI. What about a partially infiltrative (non-pushing) edge? Thanks great talk on a tricky uncommon to rare tumour.
Yes, sebaceoma can have a lot of mitoses but they are never abnormal. In addition, there will be no nuclear pleomorphism, necrosis or other features of malignancy. The presence of well developed sebaceous ducts is a great clue for sebaceoma.
Hello Dr McKee, I have a lower right eyelid tumor that has been treated as a reoccurring stye. It’s been present for about 5-6 months and has never “gone away”. I have been following home-care recommendations with hot compresses, but have not been able to express anything. About 2 months ago, it got very infected and I went to urgent care. I was prescribed oral and otic antibiotics and was diagnosed with a right lower lid stye. After that time, after a warm compress, it erupted (but from the inside, not from the little hole on the grey line). That was the only time it actually drained (and it was cottage cheese-like nasty). However, it never got “better” after 2 weeks of antibiotics. Now, the lower lid possesses a yellow (with blood vessels), flat tumor (roughly .5mm x 2mm), grey line to lower lid (seen when you invert my eyelid or you can feel it too). No missing lashes or grey line disruption, but I have had a feeling of fullness in the orbit. I went to Callahan Eye Hospital in Birmingham Alabama this weekend and neither Optometrist’s had ever seen anything like it. I have an appointment tomorrow with Dr John A Long (an Occuloplasticsurgeon at Callahan) for consult. In case you actually read this by tomorrow morning, what are your thoughts? Incidentally, I’ve been having terrible GI issues with distention and diarrhea, but no weight loss (Muir Terre??) I’m 50 years old and grew up in Fort Lauderdale, Florida (many burns and sun exposure). I’m really worried about a sebaceous carcinoma. What should I be asking Dr Long at my appointment tomorrow?
Doctor can you plz tell me that is it very serious my father had a lump on the lower eyelid since 1.5 years and has gone through wide excision there is no other symptom of the body the esr level was 36 is it very dangerous ?
Fantastic stuff Philip. As a trainee I sometimes mistake an exam case which was sebaceoma as sebaceous carcinoma. I guess in sebaceoma lots of mitoses are allowed and a great preponderance of basaloid/germinative cells are allowed. Are these the features to call it sebaceous carcinoma?: any necrosis, any atypical mitosis, doing LVI or PNI. What about a partially infiltrative (non-pushing) edge? Thanks great talk on a tricky uncommon to rare tumour.
Yes, sebaceoma can have a lot of mitoses but they are never abnormal. In addition, there will be no nuclear pleomorphism, necrosis or other features of malignancy. The presence of well developed sebaceous ducts is a great clue for sebaceoma.
Hello Dr McKee, I have a lower right eyelid tumor that has been treated as a reoccurring stye. It’s been present for about 5-6 months and has never “gone away”. I have been following home-care recommendations with hot compresses, but have not been able to express anything. About 2 months ago, it got very infected and I went to urgent care. I was prescribed oral and otic antibiotics and was diagnosed with a right lower lid stye. After that time, after a warm compress, it erupted (but from the inside, not from the little hole on the grey line). That was the only time it actually drained (and it was cottage cheese-like nasty). However, it never got “better” after 2 weeks of antibiotics.
Now, the lower lid possesses a yellow (with blood vessels), flat tumor (roughly .5mm x 2mm), grey line to lower lid (seen when you invert my eyelid or you can feel it too). No missing lashes or grey line disruption, but I have had a feeling of fullness in the orbit. I went to Callahan Eye Hospital in Birmingham Alabama this weekend and neither Optometrist’s had ever seen anything like it. I have an appointment tomorrow with Dr John A Long (an Occuloplasticsurgeon at Callahan) for consult.
In case you actually read this by tomorrow morning, what are your thoughts? Incidentally, I’ve been having terrible GI issues with distention and diarrhea, but no weight loss (Muir Terre??)
I’m 50 years old and grew up in Fort Lauderdale, Florida (many burns and sun exposure). I’m really worried about a sebaceous carcinoma. What should I be asking Dr Long at my appointment tomorrow?
Doctor can you plz tell me that is it very serious my father had a lump on the lower eyelid since 1.5 years and has gone through wide excision there is no other symptom of the body the esr level was 36 is it very dangerous ?