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Journal of Korean Cleft Palate-Craniofacial Association 2010;11(1):58-61.
Sebaceous Carcinoma Treated with Various Flaps in Head and Facial Regions.
Da Arm Kim, Yong Ah Ryu, Nak Heon Kang, Sang Ha Oh
Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University, Daejeon, Korea. djplastic@cnu.ac.kr
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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