Cutaneous adenoid cystic carcinoma of lower eyelid: Case report of a rare malignant entity

cutaneous adenoid cystic carcinoma is a rare epithelial tumor with slow development, it is most often described in the scalp; palpebral involvement is very rare. And is accompanied by local aggressiveness and frequent recurrence. The aim of this work is to discuss the management and the interest of a close surveillance of adenoid cystic carcinoma. The authors report a case of palpebral cystic adenoid carcinoma in a 65-year-old patient who underwent surgical excision followed by reconstruction of the loss of substance. Cutaneous cystic adenoid carcinoma of the eyelids remains a very rare entity that must be evoked in front of a nodular cutaneous palpebral tumor that progresses slowly. An early diagnosis and a complete excision guarantee a better prognosis. Adenoid cystic carcinoma, because of its local aggressiveness and its capacity to recur despite satisfactory surgical removal, requires long-term surveillance. Its surgery may be responsible for functional and aesthetic sequelae. -Cutaneous cystic adenoid carcinoma of the eyelids is a very rare entity that must be evoked in front of a nodular cutaneous tumor of the eyelids that progresses slowly.-It is characterized by a local aggressiveness with a high capacity of recurrence and the absence of a standardized protocol complicates its management.-The aim of this work is to discuss the management and the interest of a close surveillance of adenoid cystic carcinoma.