Klin Monbl Augenheilkd 2015; 232(4): 506-508
DOI: 10.1055/s-0035-1545787
Der interessante Fall
Georg Thieme Verlag KG Stuttgart · New York

Primary Mucinous Carcinoma of the Skin with Orbital Invasion

Primäres Muzinöses Hautkarzinom mit orbitaler Infiltration
A. P. Moulin
1   Jules-Gonin Eye Hospital, Department of Ophthalmology, University of Lausanne, Renens, Switzerland
,
A. Oberic
1   Jules-Gonin Eye Hospital, Department of Ophthalmology, University of Lausanne, Renens, Switzerland
,
Y. Lechneitner
2   Dermatology Private Practice, Avenue du 14 Avril, 12, 1020 Renens, Switzerland
,
B. Spahn
2   Dermatology Private Practice, Avenue du 14 Avril, 12, 1020 Renens, Switzerland
,
I. Letovanec
3   Institut Universitaire de pathologie, Lausanne, Switzerland
,
C. Ikonomidis
4   Otolaryngology, Head and Neck Surgery Department, CHUV, University Hospital of Lausanne, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
22 April 2015 (online)

Primary mucinous carcinoma, believed to arise from cutaneous apocrine sweat glands [1], is a very rare cutaneous tumor, estimated to represent one case every 150 000 cutaneous lesions [2]. In a review of the Danish cancer registry from 1978–2003, only fifteen cases were identified with an incidence of 0.07 cases per million [3]. This tumor appears to have a predilection for the face and the eyelids are most commonly involved in 30–40 % of the cases [4]. Primary mucinous carcinoma manifests a high recurrence rate, but metastases are rare. Involvement of both the upper and lower lids at presentation, as well as concomitant orbital extension has very rarely been documented [5].

We report an extensive primary mucinous carcinoma involving both lower and upper eyelids with orbital extension and invasion of the lacrimal gland. The extensive nature of this tumor ultimately led to an exenteration.

 
  • References

  • 1 Kazakov DV, Suster S, LeBoit PE et al. Mucinous carcinoma of the skin, primary, and secondary: a clinicopathologic study of 63 cases with emphasis on the morphologic spectrum of primary cutaneous forms: homologies with mucinous lesions in the breast. Am J Surg Pathol 2005; 29: 764-782
  • 2 Mehregan AH, Hashimoto K, Rahbari H. Eccrine adenocarcinoma. A clinicopathologic study of 35 cases. Arch Dermatol 1983; 119: 104-114
  • 3 Breiting L, Christensen L, Dahlstrom K et al. Primary mucinous carcinoma of the skin: a population-based study. Int J Dermatol 2008; 47: 242-245
  • 4 Snow SN, Reizner GT. Mucinous eccrine carcinoma of the eyelid. Cancer 1992; 70: 2099-2104
  • 5 Grizzard WS, Torezynski E, Edwards WC. Adenocarcinoma of eccrine sweat glands. Arch Ophthalmol 1976; 94: 2119-2123
  • 6 Coan EB, Doan A, Allen C. Mucinous eccrine carcinoma: a rare case of recurrence with lacrimal gland extension. Ophthal Plast Reconstr Surg 2012; 28: e109-e110
  • 7 Liszauer AD, Brownstein S, Codere F. Mucinous eccrine sweat gland adenocarcinoma of the eyelid. Can J Ophthalmol 1988; 23: 17-21
  • 8 Qureshi HS, Salama ME, Chitale D et al. Primary cutaneous mucinous carcinoma: presence of myoepithelial cells as a clue to the cutaneous origin. Am J Dermatopathol 2004; 26: 353-358
  • 9 Papalas JA, Proia AD. Primary mucinous carcinoma of the eyelid: a clinicopathologic and immunohistochemical study of 4 cases and an update on recurrence rates. Arch Ophthalmol 2010; 128: 1160-1165
  • 10 Durairaj VD, Hink EM, Kahook MY et al. Mucinous eccrine adenocarcinoma of the periocular region. Ophthal Plast Reconstr Surg 2006; 1: 30-35