Arch Craniofac Surg.  2021 Feb;22(1):56-61. 10.7181/acfs.2020.00675.

A recurrent case of extraocular sebaceous carcinoma with distant organ metastasis

• Kwon BS
• Chung EH
• Kim JW

• KMID: 2513731
• DOI: http://doi.org/10.7181/acfs.2020.00675

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.

Keyword

Adenocarcinoma, sebaceous; Metastasis; Sebaceous gland neoplasms