Figure 1 Clinical and histopathological appearances of nodular and diffuse sebaceous gland carcinoma (SGC). (A) Left eye showing swelling of the upper eyelid (arrows) clinically thought to be a chalazion. Excision biopsy of the lesion showed a nodular SGC. (B) Moderately differentiated SGC with a predominantly nodular growth pattern (haematoxylin and eosin (H&E), ×100). (C) Left eye showing patchy inflammation at upper and lower lid margins (arrows). This is associated with patchy loss of eyelashes. A suture at the centre of the lower lid indicating the previous biopsy site. Biopsy showed diffuse pagetoid spread in the epithelium. (D) Diffuse SGC. Atypical vacuolated cells are evident in the epidermis (H&E, ×400).