CASE REPORTS
JOURNAL ARTICLE
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Sebaceous carcinoma presenting as a unilateral papillary conjunctivitis.

PURPOSE: To describe a previously unreported presentation of sebaceous carcinoma, an aggressive tumor that often presents insidiously with minimal symptoms and nonspecific signs.

METHODS: We report a 71-year-old man who presented with unilateral ocular irritation and ipsilateral, idiopathic, papillary changes of the superior palpebral conjunctiva. The patient underwent incisional biopsy of the palpebral conjunctiva followed by full-thickness excision of the involved eyelid.

RESULT: Histopathologic examination established the diagnosis of sebaceous carcinoma.

CONCLUSION: Unexplained asymmetric, papillary changes of the palpebral conjunctiva should arouse suspicion of sebaceous carcinoma.

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