ADNEXAL CARCINOMA

Adnexal carcinoma

Sebaceous Gland carcinoma:
tumors from the sebaceous glands of eyelid regions. Nodal metastases in 20% of cases. Frequent perineural invasion.
Eccrine (Sweat Gland) carcinoma:
Typically in the eyelid, face and scalp. They can grow indolently or rapidly. More aggressive than SCCA or basal cell carcinoma
Apocrine carcinoma:
most commonly from apocrine glands of the axilla. Presents as red-purple, single or multinodular, firm or cystic dermal mass in elderly individuals. Because of its rarity, natural history is not well known.

Sebaceous Carcinoma

  • the standard treatment is WLE
    • if LN+ then therapeutic nodal dissection
  • PORT indicted
    • margin+/close
    • multiple LN+
    • ECE+

Eccrine and apocrine carcinoma

  • the standard treatment is WLE
    • if LN+ then therapeutic nodal dissection + PORT to primary and nodal bed
    • if LN- then controversial
  • PORT
    • almost always especially for Eccrine carcinoma due to high-local recurrence rate
Unless otherwise stated, the content of this page is licensed under Creative Commons Attribution-Share Alike 2.5 License.