Reconstruction of Upper Lid in a Case of Meibomian Gland Carcinoma

The sebaceous gland carcinoma is a very rare highly malignant tumour of the eyelid arising from sebaceous glands of the eyelid, such as meibomian glands, glands of Zeis and caruncle. The tumour is more commonly seen in elderly females and more commonly involves the upper lid. We present a rare case of meibomian gland carcinoma of the right upper eyelid in an 80- year-old male who came with a painless slow-growing swelling of the right upper eyelid for the last ten months. There was no enlarged preauricular or submandibular lymph gland. The tumour was excised and the upper lid was reconstructed by Tenzel’s flap procedure and lateral canthotomy. The excised tumour was sent for histopathological examination. Histopathological examination confirmed adenocarcinoma of the meibomian gland.