title: [A primary adenomucinous carcinoma on the upper eyelid].
abstract: In this case we present a 70-year-old male with a primary adenomucinous carcinoma (PKMK) on the upper eyelid. Radical surgery or radiotherapy could not be implemented, due to aggressive behaviour caused by dementia. PKMK is a rare tumour with 228 described cases. Clinically the tumour can be misdiagnosed as benign, but has the potential to lymph node-, regional- and remote metastasis. Histologically it may be difficult to distinguish from adenocarcinomas (breast-, colorectal-, ovarian-, prostate- and lung cancer). The treatment is surgical with radical excision by Mohs' procedure (abroad) or guided by intraoperative biopsies (Denmark).
authors.affiliation: Plastikkirurgisk Afdeling, Roskilde Sygehus, Køgevej 7-13, 4000 Roskilde, Denmark. javedakram@hotmail.com
authors.forename: Javed
authors.initials: J
authors.lastname: Akram
authors.forename: Gitte
authors.initials: G
authors.lastname: Wooler
authors.forename: Birgit Meinecke
authors.initials: BM
authors.lastname: Nürnberg
authors.forename: Helle
authors.initials: H
authors.lastname: Sjøstrand
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis* / Q000473:pathology; D000368:Aged; D000374:Aggression; D003704:Dementia / Q000523:psychology; D005142:Eyelid Neoplasms / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male