Clinicopathological analysis of periocular sebaceous gland carcinoma.
BACKGROUND
We analyzed the clinicopathological features and prognosis in patients with periocular sebaceous gland carcinoma.


METHODS
Retrospectively, we studied the records of 24 cases of sebaceous gland carcinoma treated in our clinic between 1999 and 2004. The reviewed data included demographic information, initial clinical and histopathological diagnosis, anatomic tumor location, details of treatment, tumor involvement of resection margin, and outcomes such as local recurrence, distant metastasis and survival.


RESULTS
Local recurrence developed in 6 cases (25%) at a median of 20 months from initial diagnosis. Only 2 patients (8.3%) died of systemic metastasis to brain and bone from primary lacrimal gland carcinoma. The local recurrence rate in the complete excision group (5.9%) was significantly lower compared with the incomplete excision with irradiation group (71.4%; Fisher's exact test, p = 0.003). We observed a shorter duration of symptom, a higher rate of eventual exenteration and local recurrence, and a shorter time interval to local recurrence from initial management in poorly differentiated tumors compared with moderately differentiated tumors.


CONCLUSIONS
It is critical to achieve a negative tumor margin in both frozen and permanent section to prevent local recurrence. Early aggressive management is required in sebaceous gland carcinoma of the lacrimal gland, as its mortality is much higher than that of eyelid origin.
Yoon
Jin Sook
JS
Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, South Korea.
Kim
Se Hoon
SH
Lee
Christopher Seungkyu
CS
Lew
Helen
H
Lee
Sang Yeul
SY
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000401:mortality / Q000556:secondary; D001932:Brain Neoplasms / Q000401:mortality / Q000556:secondary; D002277:Carcinoma / Q000473:pathology* / Q000556:secondary / Q000601:surgery*; D015353:Eye Enucleation / Q000706:statistics & numerical data; D005134:Eye Neoplasms / Q000473:pathology; D005142:Eyelid Neoplasms / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007765:Lacrimal Apparatus / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D012626:Sebaceous Gland Neoplasms / Q000473:pathology* / Q000601:surgery*