DOI QR코드

DOI QR Code

Primary Cutaneous Mucinous Eccrine Carcinoma Arising in the Lower Eyelid: A Rare Case Report

아래 눈꺼풀에 발생한 원발성 피부 점액성 에크린 암종 1예

  • Min Jun Yong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Hea Kyeong Shin (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Kyu Yong Jung (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) ;
  • Tae Jung Jang (Department of Pathology, Dongguk University College of Medicine) ;
  • Joon Ho Lee (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine)
  • 용민준 (동국대학교 경주병원 성형외과) ;
  • 신혜경 (동국대학교 경주병원 성형외과) ;
  • 정규용 (동국대학교 경주병원 성형외과) ;
  • 장태정 (동국대학교 경주병원 병리과) ;
  • 이준호 (동국대학교 경주병원 성형외과)
  • Received : 2022.10.17
  • Accepted : 2022.12.15
  • Published : 2023.05.30

Abstract

Mucinous Eccrine carcinoma (MEC) is a rare malignant tumor related to the eccrine sweat gland and is commonly located on the face, especially around the eyelids and scalp. Most of these tumors are diagnosed at age 40's to 60's and exhibit a wide variety of patterns in addition to the general appearance previously reported. MEC is difficult to diagnose clinically, but can be diagnosed by accompanying biopsy. We present the case of a 75-year-old man who complained of a gradually growing Left lower lid tumor of duration one year. Initially, the tumor was mistaken for an epidermal cyst and treated by surgical resection. However, biopsy findings resulted in a diagnosis of Mucinous Eccrine carcinoma. Therefore, we performed wide excision and flap reconstruction surgery. In a one year follow-up examination, the patient achieved successful functional and aesthetic results without regional or distant metastasis and recurrence.

Keywords

References

  1. Wick MR, Goellner JR, Wolfe JT 3rd, Su WP. Adnexal carcinomas of the skin. II. Extraocular sebaceous carcinomas. Cancer. 1985;56:1163-1172. https://doi.org/10.1002/1097-0142(19850901)56:5<1163::AID-CNCR2820560533>3.0.CO;2-A
  2. Krishnakumar S, Mohan ER, Babu K, Das D, Biswas J. Eccrine duct carcinoma of the eyelid mimicking meibomian carcinoma: clinicopathological study of a case. Surv Ophthalmol. 2003;48:439-446. https://doi.org/10.1016/S0039-6257(03)00050-X
  3. Urso C, Bondi R, Paglierani M, Salvadori A, Anichini C, Giannini A. Carcinomas of sweat glands: report of 60 cases. Arch Pathol Lab Med. 2001;125:498-505. https://doi.org/10.5858/2001-125-0498-COSG
  4. Kacker A, Shaha AR. Ductal eccrine carcinoma arising in the postaural area. Ear Nose Throat J. 1999;78:576-577. https://doi.org/10.1177/014556139907800812
  5. Kim YJ, Kang HY, Lee ES, Kim YC. A Case of Cutaneous Mucinous Eccrine Carcinoma. Korean J of Dermatology. 2006;44:1098-1101.
  6. Mendoza S, Helwig EB. Mucinous (adenocystic) carcinoma of the skin. Arch Dermatol. 1971;103:68-78. https://doi.org/10.1001/archderm.1971.04000130070011
  7. Beteddini OS, Sheikh S, Shareefi F, Shahab R. Primary mucinous adenocarcinoma of the scalp: A case report and literature review. Int J Surg Case Rep. 2015;10:241-244. https://doi.org/10.1016/j.ijscr.2015.02.006
  8. Hemalatha AL, Kausalya SK, Amita K, Sanjay M, Lavanya MS. Primary mucinous eccrine adenocarcinoma - a rare malignant cutaneous adnexal neoplasm at an unconventional site. J Clin Diagn Res. 2014;8:FD14-15.
  9. Reid-Nicholson M, Iyengar P, Friedlander MA, Lin O. Fine needle aspiration biopsy of primary mucinous carcinoma of the skin: a case report. Acta Cytol. 2006;50:317-322.  https://doi.org/10.1159/000325961