| 가측 위눈꺼풀에 발생한 원발 점액샘암 1예 |
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강민지, 김지현, 양석우 |
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가톨릭대학교 의과대학 서울성모병원 안과학교실 |
| A Case of Primary Mucinous Adenocarcinoma in Lateral Upper Eyelid |
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Min-Ji Kang, Ji-Hyun Kim, Suk-Woo Yang |
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Department of Ophthalmology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea |
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Received: 15 May 2018 • Revised: 25 June 2018 • Accepted: 27 June 2018 |
| Abstract |
Purpose: To report a rare case of a primary mucinous adenocarcinoma from the eccrine gland.
Case summary: A 50-year-old man visited the clinic presented with a non-tender, lobulated, and cyst-like mass at the left upper lid, which had slowly grown over three months. He already received lid mass excision at local clinic, and a mucinous eccrine adenocarcinoma was diagnosed preliminarily on the histological exam. He was referred to our hospital for further evaluation and management. Systemic evaluation was planned to evaluate the origin of adenocarcinoma. Orbit magnetic resonance imaging, whole-body positron emission tomography scan, duodenoscopy, and thyroid sonography was done. There was no abnormality except thyroiditis. Secondary surgical excision was planned to confirm the clear margin. Pentagonal wedge resection was performed and there was no evidence of local invasion. We re-evaluated histologic exam using immunohistochemistry and it was also corresponded with the preliminary diagnosis as a mucinous eccrine adenocarcinoma. Finally diagnosed as the primary mucinous eccrine adenocarcinoma of eyelid, there has been no recurrence so far for 2 years.
Conclusions: The occurrence of primary mucinous eccrine adenocarcinoma in eyelid is rare. Therefore careful systemic evaluation and immunohistochemistry should be done to differentiate the primary and metastatic lesion. Furthermore long term regular follow-up is needed to detect local recurrence. |
| Key Words:
Adenocarcinoma, Mucinous; Eyelids; Sweat glands |
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