Kraleti Shashank, Manyam Swapna, Dawson Kellen
Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, USA.
Pathology, University of Arkansas for Medical Sciences, Little Rock, USA.
Cureus. 2020 Feb 3;12(2):e6858. doi: 10.7759/cureus.6858.
We describe a case of sebaceous carcinoma (SC) in a 75-year-old man who presented with a rapidly growing nodule on the left cheek for four weeks. A 75-year-old man presented with a crusted non-tender nodule on the left cheek that had been present for six months. The nodule showed rapid growth in the four weeks before the visit. Shave biopsy of the lesion was reported as SC. SC is a rare but aggressive type of skin cancer that can develop from any sebaceous gland in the body. However, it mostly occurs in the eyelids. In this case, SC developed on the left cheek of the patient, which is an atypical presentation. Extraocular variant of SC has a greater potential to metastasize and has a lower survival rate compared to ocular variant. Early and accurate diagnosis followed by a wide excision surgery or Mohs micrographic surgery carries a favorable prognosis. Early detection of extraocular variant of SC may be difficult. It is imperative for primary care providers to order a histopathology examination to investigate a rapidly growing mass in the head and neck region where there are numerous sebaceous glands.
我们描述了一例皮脂腺癌（SC）病例，患者为一名75岁男性，其左脸颊出现一个迅速生长的结节，持续四周。一名75岁男性，左脸颊出现一个结痂的无痛性结节，已存在六个月。该结节在就诊前四周迅速增大。病变的削切活检报告为皮脂腺癌。皮脂腺癌是一种罕见但侵袭性强的皮肤癌，可发生于身体的任何皮脂腺。然而，它大多发生在眼睑。在本病例中，皮脂腺癌发生在患者的左脸颊，这是一种非典型表现。与眼部皮脂腺癌相比，眼外型皮脂腺癌转移潜力更大，生存率更低。早期准确诊断后行广泛切除手术或莫氏显微外科手术预后良好。眼外型皮脂腺癌的早期检测可能困难。对于初级保健提供者来说，对头颈部有大量皮脂腺的区域出现的迅速生长的肿块进行组织病理学检查至关重要。
