The purpose of the study was to bring in perspective a rare case of exophytic, solitary, lower eyelid sebaceous gland carcinoma in an elderly male. A 70-year-old male presented with complaints of painless, progressive mass on the left lower eyelid for the past 6 years which grew rapidly in the past 4 months. Full-thickness wide local resection of the mass was done and sent for histopathological examination. Histopathological examination confirmed the tumor to be a grade-1 sebaceous cell carcinoma. This case report highlights the successful management of rare lower eyelid sebaceous gland carcinoma which is often misdiagnosed or undiagnosed leading to lethal consequences.
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