# Parotid Metastasis of Early-Stage Upper Eyelid Sebaceous Carcinoma: A Case Presentation and a Literature Review

## TL;DR

A rare case of early-stage eyelid cancer spreading to the parotid gland is reported, highlighting the need for close monitoring.

## Contribution

This case report adds to the limited literature on parotid metastasis from early-stage eyelid sebaceous carcinoma.

## Key findings

- An early-stage eyelid sebaceous carcinoma can metastasize to the parotid gland and cervical lymph nodes.
- Fine needle aspiration initially misdiagnosed the tumor as salivary duct carcinoma.
- The patient had a history of eyelid sebaceous carcinoma, which was confirmed after histological examination.

## Abstract

Metastasis from early-stage sebaceous carcinoma of the eyelid to the salivary glands is considered very rare, occurring in less than 3% of early-stage patients. We report the case of a 72-year-old Caucasian man with a parotid tumor. Fine needle aspiration was consistent with a salivary duct carcinoma. A subtotal parotidectomy with ipsilateral neck dissection was performed. The pathology report revealed a sebaceous carcinoma with one parotid and two cervical lymph nodes infiltrated. The patient had a history of an early-stage sebaceous carcinoma of the upper eyelid two years before, which was revealed after the histological examination. An early-stage eyelid sebaceous carcinoma can metastasize to lymph nodes of the parotid glands. A close follow-up should not be neglected.