Department of Dermatology, Saitama Medical University, Saitama, Japan.
Department of Pathology, Saitama Medical University International Medical Center, Saitama, Japan.
J Dermatol. 2017 Nov;44(11):1313-1316. doi: 10.1111/1346-8138.13905. Epub 2017 Jun 20.
Sebaceous carcinomas are rare but potentially fatal malignant adenocarcinomas with varying degrees of sebaceous differentiation. Several dermoscopic findings of extraocular sebaceous carcinomas have been reported; however, there are no previous reports of ocular sebaceous carcinomas detected using dermoscopy. We present a case of ocular sebaceous carcinomas showing specific findings from dermoscopy, and describe the common dermoscopic characteristics. In our cases and a review of cases in the literature, we noted that polymorphous vessels and yellowish areas were observed in all eight cases. Thus, we consider that dermoscopic findings of polymorphous vessels with yellow backgrounds suggest sebaceous carcinoma.
皮脂腺癌是一种罕见但具有潜在致命性的恶性腺癌,具有不同程度的皮脂腺分化。已经报道了几种眼外皮脂腺癌的皮肤镜检查发现;然而,以前没有使用皮肤镜检查检测到眼部皮脂腺癌的报道。我们报告了一例眼部皮脂腺癌,其皮肤镜检查显示出特定的发现,并描述了常见的皮肤镜特征。在我们的病例和文献复习中,我们注意到所有 8 例均观察到多形血管和黄色区域。因此,我们认为具有黄色背景的多形血管的皮肤镜检查结果提示皮脂腺癌。