Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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A recurrent case of extraocular sebaceous carcinoma with distant organ metastasis

  • Kwon, Byeong Soo (Department of Plastic Surgery, Inje University Busan Paik Hospital) ;
  • Chung, Eui Han (Department of Plastic Surgery, Inje University Busan Paik Hospital) ;
  • Kim, Jin Woo (Department of Plastic Surgery, Inje University Busan Paik Hospital)
  • Received : 2020.11.18
  • Accepted : 2021.02.15
  • Published : 2021.02.20
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Abstract

Sebaceous carcinoma (SC) is a rare tumor, accounting for approximately 0.7% of skin cancers. SC can be classified as ocular SC (OSC) or extraocular SC (EOSC) depending on its location. Because EOSC accompanied by metastases is rare, there is a paucity of data about EOSC accompanied by metastasis. This study presents a case of an aggressive EOSC of the scalp with lymph node metastases. The patient underwent wide local excision of the primary tumor with a 1 cm safety margin and bilateral radical lymph node dissection. However, recurrence was observed 1 month after surgery. Radiation therapy and resection were performed for the recurrent tumor. However, distant metastases to both lungs eventually occurred. Here, we describe a rare recurrent case of EOSC of the scalp with distant organ metastasis with a review of the literature.

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References

  1. Kyllo RL, Brady KL, Hurst EA. Sebaceous carcinoma: review of the literature. Dermatol Surg 2015;41:1-15. https://doi.org/10.1097/DSS.0000000000000152
  2. Knackstedt T, Samie FH. Sebaceous carcinoma: a review of the scientific literature. Curr Treat Options Oncol 2017;18:47. https://doi.org/10.1007/s11864-017-0490-0
  3. Owen JL, Kibbi N, Worley B, Kelm RC, Wang JV, Barker CA, et al. Sebaceous carcinoma: evidence-based clinical practice guidelines. Lancet Oncol 2019;20:e699-714. https://doi.org/10.1016/s1470-2045(19)30673-4
  4. Tryggvason G, Bayon R, Pagedar NA. Epidemiology of sebaceous carcinoma of the head and neck: implications for lymph node management. Head Neck 2012;34:1765-8. https://doi.org/10.1002/hed.22009
  5. Sawyer AR, McGoldrick RB, Mackey S, Powell B, Pohl M. Should extraocular sebaceous carcinoma be investigated using sentinel node biopsy? Dermatol Surg 2009;35:704-8. https://doi.org/10.1111/j.1524-4725.2009.01118.x
  6. Kim JY, Yang HJ, Lee JS, Lee HK, Kim JH. Sebaceoma arising from nevus sebaceous with early focal carcinomatous area. Arch Craniofac Surg 2016;17:93-5. https://doi.org/10.7181/acfs.2016.17.2.93
  7. Izumi M, Tang X, Chiu CS, Nagai T, Matsubayashi J, Iwaya K, et al. Ten cases of sebaceous carcinoma arising in nevus sebaceus. J Dermatol 2008;35:704-11. https://doi.org/10.1111/j.1346-8138.2008.00550.x
  8. Tan O, Ergen D, Arslan R. Sebaceous carcinoma on the scalp. Dermatol Surg 2006;32:1290-3. https://doi.org/10.1097/00042728-200610000-00014
  9. Sa HS, Rubin ML, Xu S, Ning J, Tetzlaff M, Sagiv O, et al. Prognostic factors for local recurrence, metastasis and survival for sebaceous carcinoma of the eyelid: observations in 100 patients. Br J Ophthalmol 2019;103:980-4. https://doi.org/10.1136/bjophthalmol-2018-312635
  10. Moreno C, Jacyk WK, Judd MJ, Requena L. Highly aggressive extraocular sebaceous carcinoma. Am J Dermatopathol 2001; 23:450-5. https://doi.org/10.1097/00000372-200110000-00011
  11. Presman B, Tocco-Tussardi I, Jorgensen L, Birk-Sorensen L. Aggressive extraocular sebaceous carcinoma metastasizing to multiple visceral sites. J Case Rep Images Oncol 2015;1:23-7.
  12. Lee JH, Shin HK, Jang TJ. A case of rapidly growing extraocular sebaceous carcinoma. Arch Craniofac Surg 2014;15:32-5. https://doi.org/10.7181/acfs.2014.15.1.32
  13. Jang HU, Choi YW. Scalp reconstruction: a 10-year experience. Arch Craniofac Surg 2020;21:237-43. https://doi.org/10.7181/acfs.2020.00269
  14. Snow SN, Larson PO, Lucarelli MJ, Lemke BN, Madjar DD. Sebaceous carcinoma of the eyelids treated by mohs micrographic surgery: report of nine cases with review of the literature. Dermatol Surg 2002;28:623-31. https://doi.org/10.1097/00042728-200207000-00023
  15. Folberg R, Whitaker DC, Tse DT, Nerad JA. Recurrent and residual sebaceous carcinoma after Mohs' excision of the primary lesion. Am J Ophthalmol 1987;103:817-23. https://doi.org/10.1016/s0002-9394(14)74400-9
  16. Dasgupta T, Wilson LD, Yu JB. A retrospective review of 1349 cases of sebaceous carcinoma. Cancer 2009;115:158-65. https://doi.org/10.1002/cncr.23952
  17. Chang AY, Miller CJ, Elenitsas R, Newman JG, Sobanko JF. Management considerations in extraocular sebaceous carcinoma. Dermatol Surg 2016;42Suppl 1:S57-65. https://doi.org/10.1097/DSS.0000000000000575
  18. Giridhar P, Kashyap L, Mallick S, Dutt Upadhyay A, Rath GK. Impact of surgery and adjuvant treatment on the outcome of extraocular sebaceous carcinoma: a systematic review and individual patient's data analysis of 206 cases. Int J Dermatol 2020;59:494-505. https://doi.org/10.1111/ijd.14739