Recurrent and residual sebaceous carcinoma after Mohs' excision of the primary lesion.

Abstract:

:We reviewed the histories of three patients with sebaceous carcinoma (two of the eyelid and one of the caruncle) who had had their tumors excised by surgeons experienced in the Mohs' technique. In each patient the tumor was considered totally excised. In one patient, residual intraepithelial pagetoid sebaceous carcinoma of the eyelid was detected incidentally when a reparative flap was placed. In the other two patients, invasive sebaceous carcinoma recurred, necessitating orbital exenteration; one patient has regional lymph node metastases. Because of the difficulty in detecting pagetoid spread on frozen sections and the multicentric nature of sebaceous carcinoma, we advocate managing these tumors by wide local excision, checking margins with high-quality permanent sections.

journal_name

Am J Ophthalmol

authors

Folberg R,Whitaker DC,Tse DT,Nerad JA

doi

10.1016/s0002-9394(14)74400-9

subject

Has Abstract

pub_date

1987-06-15 00:00:00

pages

817-23

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)74400-9

journal_volume

103

pub_type

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