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Highly Aggressive Extraocular Sebaceous Carcinoma

Moreno, C. M.D.; Jacyk, W. K. M.D.; Judd, M. J. M.D.; Requena, L. M.D.

The American Journal of Dermatopathology: October 2001 - Volume 23 - Issue 5 - p 450-455
Original Articles

Extraocular sebaceous carcinoma is an uncommon neoplasm usually localized on the head and neck. We report a case of sebaceous carcinoma of the axillary skin with a highly aggressive behavior. The patient was a 43-year-old black man who developed multiple cutaneous and lymph node metastases shortly after the excision of primary sebaceous carcinoma of the axillary skin. Many neoplastic aggregations were identified within the lumina of the dermal lymphatic vessels in the excised specimen of the primary neoplasm. Although extraocular sebaceous carcinoma has been traditionally considered a less aggressive neoplasm than its ocular counterpart, a review of the literature and this case demonstrate that extraocular sebaceous carcinoma may also lead to disseminated metastatic disease.

From the Departments of Pathology (C.M.) and Dermatology (L.R.), Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain; Dermatology (W.K.J.) and Anatomical Pathology (M.J.J.), University of Pretoria, Pretoria, Republic of South Africa.

Address correspondence and reprint requests to Luis Requena, M.D., Departamento de Dermatología, Fundación Jiménez Díaz, Avda. Reyes Católicos 2, 28040-Madrid, Spain

© 2001 Lippincott Williams & Wilkins, Inc.