ĐẶC ĐIỂM LÂM SÀNG CỦA UNG THƯ BIỂU MÔ TUYẾN BÃ Ở MI MẮT TẠI BỆNH VIỆN MẮT TRUNG ƯƠNG

Abstract

Objective: To analyze the clinical characteristics of sebaceous gland carcinoma (SGC) of the eyelids at the Vietnam National Eye Hospital. Methods: A retrospective study was conducted on 90 patients diagnosed with eyelid SGC who presented and were treated at the Vietnam National Eye Hospital from 2015 to 2024. Medical records were collected and analyzed for general and clinical characteristics. Results: The age group with the highest proportion was patients over 60 years old, accounting for 54 cases (62%). Female patients were more prevalent than male patients, with a ratio of 7:3. A history of chalazion was noted in 20.7% of cases. The tumor was most commonly located on the upper eyelid (74%) and the medial canthus (72%). The majority of tumors were ≤10 mm in size (63%). Tumors with ill-defined, infiltrative margins were predominant (57.5%). The majority of tumors were confined to the eyelid (94.3%, 82/87), while invasion into the globe and orbit occurred in 4.6% (4/87), and into bone and sinuses in 1.1% (1/87). No cases showed intracranial invasion. Conclusion: Sebaceous gland carcinoma is commonly seen in older adults, with a female predominance and often a history of chalazion. Tumors are frequently located on the upper eyelid and medial canthus, and are usually ≤10 mm in size. The tumor may invade the globe, orbit, and adjacent sinuses.