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[A case of giant sebaceous gland carcinoma without adequate treatment]
E Enomoto1, Y Kamura, M Nohara
1Department of Ophthalmology, Nihon University School of Medicine, Tokyo, Japan.
Background:
A patient with a sebaceous gland carcinoma without adequate treatment is reported.
Case:
A 67-year-old man underwent an operation on his left upper eyelid after a diagnosis of chalazion in 1981. Two years after the initial operation, he noticed a tumor in the left upper eyelid. In 1987, he visited another hospital and was diagnosed with sebaceous gland carcinoma by a tissue biopsy. He left it untreated against medical advice. When he visited our hospital in 1996, the tumor was as large as 80 x 75 x 40 mm and the left upper and lower eyelids stuck together. After admission, he died of myocardial infarction 23 days after his visit to our hospital. Autopsy revealed that the tumor had extended into the orbital cavity, paranasal sinus, and base of the skull, with metastasis to the preauricular, submandibular, and cervical lymph nodes and both lungs. The pathology of the tumor was a moderately differentiated sebaceous gland carcinoma.
Conclusion:
This case showed the natural course of extension and metastasis of a sebaceous gland carcinoma.