DR. NEEBHA ANAND

DR.DR. NEERU YADAV, DR. GUNJAN CHADHA, DR. CHAWLA URMIL

Abstract

AIM:To discuss management of extensive and metastatic SGC of eyelid METHOD: 63 yr female presented with progressive painful swelling of RUL for 5 months. A firm, tender, full thickness mass involving whole of UL showing ulceration on lid margin was noted. Eyeball could not be examined due to inability to open lids. Preauricular and submandibular LAP present. CEMRI orbit showed large mass RUL with anterior orbital extension.Incisional biopsy done.HPE confirmed SGC. USG &CECT abdomen & chest showed ill defined lesions in abdomen s/o metastasis. RESULT.Being radiosensitive tumor along with suspected metastasis, patient managed by palliative RT and chemo. On completion of RT there was marked decrease in size of tumor. patient has been subsequently put on chemo and planned for RUL tumor excision with lid reconstruction at later date.

CONCLUSION:Right approach to management of an extensive and metastatic SGC of eyelid helps in alleviating the need for extensive excision and reconstruction.