Primary Cutaneous Adenoid Cystic Carcinoma on Lower Lid.

Lee, Dong Peal; Hu, Young Jae; Kim, Suk Dong

Original Article

Journal of the Korean Ophthalmological Society 2001;42(3):533-537.
Published online March 1, 2001.

Primary Cutaneous Adenoid Cystic Carcinoma on Lower Lid.

Dong Peal Lee, Young Jae Hu, Suk Dong Kim

Department of Ophthalmology, Holy Family Hospital, The Catholic University Medical College, Puchon, Korea.

하안검에서 발생한 원발성 피부 선양낭성암종 1 례

이동필(Dong Peal Lee),허영재(Young Jae Hu),김석동(Suk Dong Kim)

Abstract

PURPOSE
Primary cutaneous adenoid cystic carcinoma(PCACC) is a very rare malignant tumor originating from the eccrine glands of skin and 39 cases have been reported in the world literature. We report PCACC on the lower lid with metastasis to the lung and brain. METHOD: 56 years old man visited because of hard mass on left lower lid which developed 18 months ago. On punch biopsy the mass showed malignant nature and it was removed by wedge resection method with clear margin. RESULT: Adenoid cystic carcinoma was diagnosed by histologic exam of removed mass and it was diagnosed PCACC because salivary gland region is normal and systemic exam shows no abnormality. After 2 years 10 months recurrent tumor developed on medial lower lid and zygomatic area. We tried to remove mass totally but it failed. Metastases to lung and brain developed.

Key Words: Metastasis;Primary cutaneous adenoid cystic carcinoma