Mercuţ Răzvan, Ionescu Mihaela, Simionescu Cristiana, Pîrvănescu Vlad, Mercuţ Maria Filoftea, Gogănău Alexandru, Ciurea Marius Eugen
Department of Plastic and Reconstructive Surgery, University of Medicine and Pharmacy of Craiova, Romania.
Department of Medical Informatics and Biostatistics, University of Medicine and Pharmacy of Craiova, Romania.
Curr Health Sci J. 2021 Oct-Dec;47(4):595-601. doi: 10.12865/CHSJ.47.04.18. Epub 2021 Dec 31.
Sebaceous carcinoma is a rare, aggressive, malignant tumour, characterized by a tendency for local recurrence and distant metastases. This case report presents a rare form of sebaceous carcinoma in an 86 years-old female. Clinical examination revealed a 12cm nodular tumour, yellow-brown in colour, located on the left buttock of the patient. Ultrasound examination indicated that no ganglions were affected; dermatological examination suggested that the tumour had an unpredictable evolution. Treatment was surgical with a 2cm wide excision, followed by reconstruction with a VY skin flap, from the left side of the buttock. Histological exam supported the diagnosis of sebaceous carcinoma; the tumour was removed with a safety margin of healthy tissue. Sebaceous carcinoma is a malignant tumour with unpredictable evolution. Diagnosis is based on histological examination. Treatment of choice consists in complete wide surgical excision.
皮脂腺癌是一种罕见的、侵袭性恶性肿瘤，其特点是易于局部复发和远处转移。本病例报告呈现了一名86岁女性患有的一种罕见的皮脂腺癌形式。临床检查发现患者左臀部有一个12厘米的结节状肿瘤，呈黄棕色。超声检查表明没有淋巴结受累；皮肤科检查提示该肿瘤的发展不可预测。治疗采用手术切除，切除范围宽2厘米，随后用来自左臀部的V-Y皮瓣进行重建。组织学检查支持皮脂腺癌的诊断；肿瘤切除时保留了健康组织的安全切缘。皮脂腺癌是一种发展不可预测的恶性肿瘤。诊断基于组织学检查。首选治疗方法是进行彻底的广泛手术切除。
