Eccrine Ductal Carcinoma Arising in the Eyelid.

Kim, Tae Hyup; Lee, Jung Hye; Ahn, Jung Hyun; Woo, Kyung In; Suh, Yeon Lim; Kim, Yoon Duck

doi:2013.54.4.651

J Korean Ophthalmol Soc > Volume 54(4); 2013 > Article

Case Report

Journal of the Korean Ophthalmological Society 2013;54(4):651-654.
DOI: https://doi.org/10.3341/jkos.2013.54.4.651 Published online April 30, 2013.

Eccrine Ductal Carcinoma Arising in the Eyelid.

Tae Hyup Kim, Jung Hye Lee, Jung Hyun Ahn, Kyung In Woo, Yeon Lim Suh, Yoon Duck Kim

¹Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ydkim@smc.samsung.co.kr
²Department of Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

눈꺼풀에 발생한 에크린 관암 1예

김태협¹⋅이정혜¹⋅안정현¹⋅우경인¹⋅서연림²⋅김윤덕¹

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine¹, Seoul, Korea
Department of Pathology, Samsung Medical Cente, Sungkyunkwan University School of Medicine², Seoul, Korea

Abstract

PURPOSE
Eccrine ductal carcinoma is an extremely rare tumor that arises in the eccrine sweat glands. The authors of the present study describe a case of an eyelid mass diagnosed as eccrine ductal carcinoma. CASE SUMMARY: A 74-year-old woman visited our institute with a 3-month history of a mass in the left medial canthus. The lesion appeared as a solitary nodule with central ulceration. A magnetic resonance imaging (MRI) of the orbit showed a relatively well enhanced 0.8 cm x 0.8 cm-sized ovoid soft tissue mass. A mass excision was performed under frozen section control. The tumor was completely excised with margin clearance and medial canthal reconstruction was performed. Histopathological examination revealed a tumor composed of numerous duct-like structures lined with pleomorphic cuboidal epithelium that was diagnosed as eccrine ductal carcinoma of the eyelid. CONCLUSIONS: This is the first description of eccrine ductal carcinoma in a patient in Korea. The possibility of the eccrine ductal carcinoma should be considered in the differential diagnosis in an elderly patient with an eyelid mass.

Key Words: Eccrine ductal carcinoma;Eyelid tumor;Sweat gland tumor