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一名肝移植受者耻骨上区的皮脂腺癌。

Sebaceous carcinoma of the suprapubic area in a liver transplant recipient.

作者信息

Seo Bommie F, Jung Hyun Wook, Choi Ik Kyun, Rhie Jong Won

机构信息

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Ann Dermatol. 2014 Jun;26(3):395-8. doi: 10.5021/ad.2014.26.3.395. Epub 2014 Jun 12.

DOI:10.5021/ad.2014.26.3.395
PMID:24966643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4069654/
Abstract

Sebaceous carcinoma is a very rare and potentially aggressive carcinoma originating from the epithelial lining of the sebaceous gland. More than 70% of all cases are in the head and neck region, especially the periorbita; therefore, they are classified into ocular and extraocular sebaceous carcinoma. The reported risk factors are advanced age, male sex, previous irradiation, and genetic predisposition for Muir-Torre syndrome. The current case is of sebaceous carcinoma found in the suprapubic area of a 67-year-old male patient who had received liver transplantation 6 years before, and had been receiving oral tacrolimus. Examination of the gastrointestinal system did not reveal any other malignancies. Although nonmelanoma skin cancers may occur as a complication after liver transplantation, there have been no previous reports of sebaceous carcinoma after liver transplantation. Furthermore, the sebaceous carcinoma in this case occurred in an uncommon location. We report this case along with a review of the literature.

摘要

皮脂腺癌是一种非常罕见且具有潜在侵袭性的癌,起源于皮脂腺的上皮内衬。所有病例中超过70%位于头颈部区域,尤其是眶周;因此,它们被分为眼内和眼外皮脂腺癌。报道的危险因素包括高龄、男性、既往放疗以及穆尔-托里综合征的遗传易感性。本例为一名67岁男性患者,6年前接受肝移植,一直在口服他克莫司,在耻骨上区发现皮脂腺癌。胃肠道系统检查未发现任何其他恶性肿瘤。虽然非黑色素瘤皮肤癌可能作为肝移植后的并发症出现,但此前尚无肝移植后发生皮脂腺癌的报道。此外,本例皮脂腺癌发生在一个不常见的部位。我们报告该病例并对文献进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/9137c92b836b/ad-26-395-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/26e9ccd4af00/ad-26-395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/405dd84d7e9f/ad-26-395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/a749c6474e58/ad-26-395-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/9137c92b836b/ad-26-395-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/26e9ccd4af00/ad-26-395-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/405dd84d7e9f/ad-26-395-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/a749c6474e58/ad-26-395-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99f9/4069654/9137c92b836b/ad-26-395-g004.jpg

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本文引用的文献

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J Cutan Pathol. 2013 Mar;40(3):336-40. doi: 10.1111/cup.12046. Epub 2012 Nov 23.
2
Sebaceous carcinoma arising from the nevus sebaceous.源于皮脂腺痣的皮脂腺癌。
Arch Plast Surg. 2012 Jul;39(4):431-3. doi: 10.5999/aps.2012.39.4.431. Epub 2012 Jul 13.
3
Sirolimus and secondary skin-cancer prevention in kidney transplantation.西罗莫司与肾移植术后皮肤癌二级预防。
J Korean Med Sci. 2017 Aug;32(8):1351-1359. doi: 10.3346/jkms.2017.32.8.1351.
N Engl J Med. 2012 Jul 26;367(4):329-39. doi: 10.1056/NEJMoa1204166.
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De novo malignancies after liver transplantation: incidence comparison with the Korean cancer registry.肝移植术后新发恶性肿瘤:与韩国癌症登记处的发病率比较。
Transplant Proc. 2012 Apr;44(3):802-5. doi: 10.1016/j.transproceed.2012.01.027.
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The significance of DNA mismatch repair genes in the diagnosis and management of periocular sebaceous cell carcinoma and Muir-Torre syndrome.DNA 错配修复基因在眼周皮脂腺细胞癌和 Muir-Torre 综合征诊断和治疗中的意义。
Br J Ophthalmol. 2011 Dec;95(12):1686-90. doi: 10.1136/bjophthalmol-2011-300612. Epub 2011 Oct 6.
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Noninvasive and curative radiation therapy for sebaceous carcinoma of the eyelid.眼睑皮脂腺癌的无创和根治性放射治疗。
Int J Radiat Oncol Biol Phys. 2012 Feb 1;82(2):605-11. doi: 10.1016/j.ijrobp.2010.12.006. Epub 2011 Feb 16.
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Should extraocular sebaceous carcinoma be investigated using sentinel node biopsy?眼外皮脂腺癌是否应采用前哨淋巴结活检进行检查?
Dermatol Surg. 2009 Apr;35(4):704-8. doi: 10.1111/j.1524-4725.2009.01118.x.
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Sebaceous carcinoma: the great masquerader: emgerging concepts in diagnosis and treatment.皮脂腺癌:极具伪装性的疾病:诊断与治疗的新观念
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