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Sebaceous Carcinoma Treated with Various Flaps in Head and Facial Regions  

Kim, Da Arm (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University)
Ryu, Yong Ah (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University)
Kang, Nak Heon (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University)
Oh, Sang Ha (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University)
Publication Information
Archives of Craniofacial Surgery / v.11, no.1, 2010 , pp. 58-61 More about this Journal
Abstract
Purpose: Sebaceous carcinoma is a rare malignant tumor that occurs mostly in head and neck regions. Early diagnosis and treatment are necessary because it tends to be locally aggressive and goes through distal metastasis with fast progression. This study presents reliable surgical methods for sebaceous carcinoma in head and neck regions. Methods: Three patients were included in this study. First, a 61-year-old woman visited the hospital with a yellow-colored, slowly growing mass on the left ala. A 54-year-old woman had a brown-colored mass on her right preauricle. Last case was a 62-year-old man who had a yellow-colored mass on his scalp. CT scan and punch biopsy were done. All cases were diagnosed as sebaceous carcinoma. The lesions were resected with 10 mm safety margin and various regional flaps were used for reconstruction. Results: Histological examination revealed sebaceous differentiation and local invasions. Postoperatively, all patients did not suffer from complication and no recurrence was found. Conclusion: We recommend early wide excision with an enough safety margin, and a regional flap as a treatment of sebaceous carcinoma.
Keywords
Sebaceous carcinoma; Wide excision; Regional flap;
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Times Cited By KSCI : 2  (Citation Analysis)
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