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Double Primary Mucinous Eccrine Adenocarcinomas Each Occurring Separately on the Left Eyelid and Right Eyelid with a Time Lag

대한피부과학회지 2020년 58권 8호 p.551 ~ 553
이수영, 강민지, 서지민, 이영복, 유동수,
소속 상세정보
이수영 ( Lee Soo-Young ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Dermatology
강민지 ( Kang Min-Ji ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Dermatology
서지민 ( Seo Ji-Min ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Dermatology
이영복 ( Lee Young-Bok ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Dermatology
유동수 ( Yu Dong-Soo ) - Catholic University College of Medicine Uijeongbu St. Mary’s Hospital Department of Dermatology

Abstract


A 57-year-old man presented with a tender, solitary, 0.3 cm-sized, subdermal nodule on the left periocular area for several months. He had surgery three times for recurrent primary mucinous eccrine adenocarcinoma on the right periocular area. Skin biopsy showed a tumor separated by strands of fibrous tissue and small compartments of tumor cells were surrounded by pale-staining mucin. The cluster of tumor cells contained atypical epithelial cells. The mucin stained with periodic acid-Schiff (PAS) and alcian blue at pH 2.5. Cytokeratin-7 (CK7) was positive for tumor cells, but cytokeratin-20 (CK20) and S-100 were negative. For evaluation of local metastasis, computed tomography was performed and there was no evidence of regional lymph node metastasis. The lesion was removed by local excision and the patient was under close follow up without any sign of recurrence. To our knowledge, double primary mucinous eccrine adenocarcinomas in the opposite body site has never been reported.

키워드

Double primary mucinous eccrine adenocarcinomas; Primary mucinous carcinoma; Lower eyelid; Opposite site

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