Hihara Masakatsu, Mitsui Toshihito, Kakudo Natsuko, Kuro Atsuyuki, Kusumoto Kenji
Department of Plastic and Reconstructive Surgery, Kansai Medical University, Osaka, Japan.
JPRAS Open. 2022 Mar 10;32:88-92. doi: 10.1016/j.jpra.2022.02.008. eCollection 2022 Jun.
We herein report a 57-year-old man afflicted with multiple malignant tumors arising from a giant sebaceous nevus on his left parieto-temporal scalp and neck. The upper eyelid was resected in all layers, and the auricle was resected as well, leaving part of the external auricular cartilage; the parotid gland area was also resected over the parotid fascia. The lost part of the left eyebrow was reconstructed using an anterior forehead skin flap, and the residual defect was covered with skin graft and expanded scalp flap. This is probably the first case report of giant sebaceous nevus associated with three malignancies: sebaceous carcinoma, apocrine adenocarcinoma, and basal cell carcinoma.
我们在此报告一名57岁男性,其左颞顶头皮和颈部的巨大皮脂腺痣发生了多种恶性肿瘤。上睑全层切除,耳廓也被切除,保留部分外耳道软骨;腮腺区域也在腮腺筋膜上方切除。左眉缺失部分采用前额皮瓣重建,残余缺损用植皮和扩张头皮瓣覆盖。这可能是首例与三种恶性肿瘤相关的巨大皮脂腺痣病例报告:皮脂腺癌、大汗腺癌和基底细胞癌。