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KMID : 0360220090500101582
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Journal of the Korean Ophthalmological Society
2009 Volume.50 No. 10 p.1582 ~ p.1585
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A Case of Primary Mucinous Adenocarcinoma on Skin of The Lateral Canthus
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Hong Seong-Min
Yun Ki-Jung
Kim Sang-Duck
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Abstract
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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.
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KEYWORD
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Lateral Canthus, Primary mucinous adenocarcinoma, Sweat gland
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