J Korean Ophthalmol Soc.
2009 Oct;50(10):1582-1585. 10.3341/jkos.2009.50.10.1582.
A Case of Primary Mucinous Adenocarcinoma on Skin of The Lateral Canthus
- Affiliations
-
- 1Department of Ophthalmology, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science, Iksan, Korea. sangduck@wonkwang.ac.kr
- 2Department of Pathology, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science, Iksan, Korea.
- KMID: 2212779
- DOI: http://doi.org/10.3341/jkos.2009.50.10.1582
Abstract
- PURPOSE
To report a rare case of primary mucinous adenocarcinoma arising from a sweat gland in the eyelid.
CASE SUMMARY
A 68-year-old male presented to our hospital with a painless, superficial nodular lesion over the skin of the right lateral canthus that had slowly grown over the past two years. The patient had a history of surgical excision for three nodular lesions at the same site 5 years ago, and an excisional biopsy was mucinous adenocarcinoma with a positive margin. A systemic evaluation, including whole-body Positron Emission Tomography scan (PET), chest computerized tomography, gastrointestinal endoscopy, and colonoscopy, revealed no other abnormal lesions. Therefore, the eyelid lesion was considered a primary mucinous adenocarcinoma of the skin.
CONCLUSIONS
Primary mucinous adenocarcinoma of the eyelid can rarely metastasize. Therefore, a systemic examination is warranted to discriminate primary and metastatic adenocarcinoma and also to monitor the long-term follow-up for the evaluation of local recurrence.
