Mucoepidermoid/adenosquamous carcinoma of the skin: presentation of two cases.

Abstract

BACKGROUND:

Mucoepidermoid carcinoma is a relatively common neoplasm of the major and minor salivary glands comprising 10-30% of primary carcinomas. They may involve the skin through direct extension, metastases, and rarely, as a primary focus (adenosquamous carcinoma).

OBJECTIVE:

To discuss through case reports, the nomenclature, histology, clinical course, and treatment of mucoepidermoid/adenosquamous carcinoma.

METHODS:

We present a case of mucoepidermoid carcinoma primary to an upper eyelid accessory lacrimal gland with direct cutaneous extension and a case of primary cutaneous adenosquamous carcinoma of the scalp.

RESULTS:

An eyelid neoplasm of lacrimal origin was initially treated with Mohs micrographic surgery (MMS), requiring an orbital exenteration to achieve a tumor-free plane. In the second case, a primary scalp lesion was cleared with MMS. Neither patient has had local recurrence or metastases.

CONCLUSION:

Correct diagnosis is crucial to pursuing adequate treatment for this aggressive neoplasm. We support the use of MMS to achieve local control.

• Authors: D S Johnson, A R Solomon, C V Washington
• Journal: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (Dermatol Surg) Vol. 27 Issue 12 Pg. 1046-8 (Dec 2001) ISSN: 1076-0512 [Print] United States
• PMID: 11849269 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Aged, 80 and over
• Carcinoma, Mucoepidermoid (pathology, surgery)
• Choristoma (pathology)
• Eyelid Neoplasms (pathology, surgery)
• Humans
• Lacrimal Apparatus (pathology)
• Male
• Middle Aged
• Mohs Surgery
• Neoplasm Invasiveness
• Scalp (pathology, surgery)
• Skin Neoplasms (pathology, surgery)