Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지

Sebaceous Carcinoma Treated with Various Flaps in Head and Facial Regions

다양한 피판술을 이용한 두안면부 피지선암의 치료

  • Kim, Da Arm (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Ryu, Yong Ah (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Kang, Nak Heon (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Oh, Sang Ha (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University)
  • 김다앎 (충남대학교 의과대학 성형외과학교실) ;
  • 유용아 (충남대학교 의과대학 성형외과학교실) ;
  • 강낙헌 (충남대학교 의과대학 성형외과학교실) ;
  • 오상하 (충남대학교 의과대학 성형외과학교실)
  • Received : 2009.11.07
  • Accepted : 2010.03.05
  • Published : 2010.04.10
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Abstract

Purpose: Sebaceous carcinoma is a rare malignant tumor that occurs mostly in head and neck regions. Early diagnosis and treatment are necessary because it tends to be locally aggressive and goes through distal metastasis with fast progression. This study presents reliable surgical methods for sebaceous carcinoma in head and neck regions. Methods: Three patients were included in this study. First, a 61-year-old woman visited the hospital with a yellow-colored, slowly growing mass on the left ala. A 54-year-old woman had a brown-colored mass on her right preauricle. Last case was a 62-year-old man who had a yellow-colored mass on his scalp. CT scan and punch biopsy were done. All cases were diagnosed as sebaceous carcinoma. The lesions were resected with 10 mm safety margin and various regional flaps were used for reconstruction. Results: Histological examination revealed sebaceous differentiation and local invasions. Postoperatively, all patients did not suffer from complication and no recurrence was found. Conclusion: We recommend early wide excision with an enough safety margin, and a regional flap as a treatment of sebaceous carcinoma.

Keywords

Acknowledgement

Supported by : 충남대학병원

References

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