Yamazawa Koji, Ishikura Hiroshi, Matsui Hideo, Seki Katsuyoshi, Sekiya Souei
Department of Reproductive Medicine, Graduate School of Medicine, Chiba University, Japan.
Int J Gynecol Pathol. 2003 Jan;22(1):92-4. doi: 10.1097/00004347-200301000-00018.
Sebaceous carcinoma is an uncommon neoplasm that usually arises in the head and neck region. A few cases of sebaceous carcinoma of the female genital tract have been reported, most of which arose in the vulva. We report the first case of sebaceous carcinoma of the uterine cervix. A 25-year-old, nulligravida woman presented with genital bleeding; there was a history of systemic lupus erythematosus but not Fordyce's disease. A 3.8-cm exophytic lesion on the cervix was biopsied and staged FIGO stage IB1. A radical hysterectomy was performed. On pathological examination, the tumor replaced the entire cervix and extended into the left parametrium and posterior vaginal fornix. On microscopic examination, the tumor was a sebaceous carcinoma, similar to those described in other sites. Postoperative radiotherapy was administered, but the patient died of tumor 8 months postoperatively.