Br J Ophthalmol 87:118-119 doi:10.1136/bjo.87.1.118
  • Letter

Eyelid skin adenoid cystic carcinoma: a clinicopathological study of one case simulating sebaceous gland carcinoma

  1. E F Marback1,2,
  2. A L Costa1,
  3. L M B Nossa1,
  4. R L Marback1,
  5. N A Rao2
  1. 1Ophthalmology Clinic, Federal University of Bahia, Bahia, Brazil
  2. 2Doheny Eye Institute, University of Southern California, Los Angeles, CA, USA
  1. Correspondence to: Roberto L Marback, MD, Av Garibaldi 1987, 3 andar, Salvador, Bahia, Brazil, Cep 40210-070; robertomarback{at}
  • Accepted 29 November 2001

Adenoid cystic carcinoma is a rare subtype of sweat gland carcinoma.1 In the eyelid, it can arise from the glands of Moll, the palpebral lobe of the lacrimal gland, the accessory lacrimal glands in conjunctiva, or from ectopic lacrimal gland tissue.1 We present a rare case of adenoid cystic carcinoma arising from the skin of the eyelid with features simulating the more commonly seen sebaceous gland carcinoma.

Case report

A 57 year old man presented with a lesion in the right inferior lid. He reported a slow growth during the past 10 years. The examination revealed a firm tumour occupying the lateral two thirds of the right inferior lid. There was a loss of cilia but no ulceration of the skin or conjunctiva over the lesion (Fig 1). The remainder of the …