A Case of Primary Mucinous Adenocarcinoma on Skin of The Lateral Canthus.

Hong, Seong Min; Kim, Sang Duck; Yun, Ki Jung

doi:2009.50.10.1582

J Korean Ophthalmol Soc > Volume 50(10); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(10):1582-1585.
DOI: https://doi.org/10.3341/jkos.2009.50.10.1582 Published online October 15, 2009.

A Case of Primary Mucinous Adenocarcinoma on Skin of The Lateral Canthus.

Seong Min Hong, Sang Duck Kim, Ki Jung Yun

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.

가쪽눈구석 피부에 발생한 원발성 점액샘암종 1예

홍성민¹ㆍ김상덕¹ㆍ윤기중²

Department of Ophthalmology, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science¹, Iksan, Korea / Department of Pathology, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science², Iksan, Korea

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.

Key Words: Lateral Canthus;Primary mucinous adenocarcinoma;Sweat gland