피지선 모반에서 동시에 발생한 편평세포암과 기저세포암

Squamous Cell Carcinoma and Basal Cell Carcinoma Simultaneously Arising in a Nevus Sebaceus: A Case Report

  • 박현민 (충북대학교 의과대학 성형외과학교실) ;
  • 이동근 (충북대학교 의과대학 성형외과학교실) ;
  • 신경진 (충북대학교 의과대학 성형외과학교실) ;
  • 윤태영 (충북대학교 의과대학 피부과학교실) ;
  • 이지연 (충북대학교 의과대학 피부과학교실) ;
  • 성노현 (충북대학교 의과대학 병리학교실) ;
  • 송형근 (충북대학교 의과대학 병리학교실) ;
  • 이동욱 (충북대학교 의과대학 이비인후과학교실) ;
  • 이의태 (충북대학교 의과대학 성형외과학교실)
  • Park, Hyun-Min (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungbuk National University) ;
  • Lee, Dong-Geun (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungbuk National University) ;
  • Shin, Kyung-Jin (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungbuk National University) ;
  • Yoon, Tae-Young (Department of Dermatology, College of Medicine, Chungbuk National University) ;
  • Lee, Ji-Yeoun (Department of Dermatology, College of Medicine, Chungbuk National University) ;
  • Sung, Ro-Hyun (Department of Pathology, College of Medicine, Chungbuk National University) ;
  • Song, Hyung-Geun (Department of Pathology, College of Medicine, Chungbuk National University) ;
  • Lee, Dong-Wook (Department of Otorhinolaryngology, College of Medicine, Chungbuk National University) ;
  • Lee, Eui-Tai (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungbuk National University)
  • 투고 : 2011.08.28
  • 심사 : 2011.10.18
  • 발행 : 2011.11.10

초록

Purpose: Nevus sebaceus is a congenital hamartomatous lesion, typically involving head and neck. Various benign and malignant neoplasms can develop in association with nevus sebaceus. We report a case of simultaneous occurrence of squamous cell carcinoma and basal cell carcinoma in nevus sebaceus. Methods: A 73-year-old man presented with erythematous to black verrucous nodules on the right subauricular area. The upper part was accompanied with inflammation and ulceration, and no specific findings suspicious for malignant degeneration were found in the lower part preoperatively. The mass was totally excised and the defect was directly closed. Lymph nodes were not involved on concomitant neck dissection. Results: Histopathologic examination confirmed the presence of squamous cell carcinoma in the upper part and basal cell carcinoma in the lower part of a nevus sebaceus. Negative margins were achieved on resection. No clinical problems were found during the 3-month follow-up period. Conclusion: We experienced a rare case of simultaneous occurrence of squamous cell carcinoma and basal cell carcinoma within the same nevus sebaceus. Because patients with nevus sebaceus have risk of malignant changes, surgical excision and work-up for recurrence and metastasis should be considered in suspicious cases. And even in a totally asymptomatic case, the possibility of occult secondary cancer should be informed before surgery in aged patients.

키워드

참고문헌

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