A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma

Abstract Background Sebaceous gland carcinoma (SGC) of the eyelid is an aggressive malignant eyelid tumor, and it can metastasize to the regional lymph nodes and distant organs. There have been only a few reported cases of patients who underwent pulmonary metastasectomy for metastatic SGC. We herein...

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Main Authors: Sachi Kawagishi, Ryu Kanzaki, Seiji Taniguchi, Kenji Kimura, Toru Kimura, Hiroyuki Takabatake, Eiichi Morii, Masayoshi Inoue, Yasushi Shintani
Format: Article
Language:English
Published: Japan Surgical Society 2020-08-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-020-00947-1
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author Sachi Kawagishi
Ryu Kanzaki
Seiji Taniguchi
Kenji Kimura
Toru Kimura
Hiroyuki Takabatake
Eiichi Morii
Masayoshi Inoue
Yasushi Shintani
author_facet Sachi Kawagishi
Ryu Kanzaki
Seiji Taniguchi
Kenji Kimura
Toru Kimura
Hiroyuki Takabatake
Eiichi Morii
Masayoshi Inoue
Yasushi Shintani
author_sort Sachi Kawagishi
collection DOAJ
description Abstract Background Sebaceous gland carcinoma (SGC) of the eyelid is an aggressive malignant eyelid tumor, and it can metastasize to the regional lymph nodes and distant organs. There have been only a few reported cases of patients who underwent pulmonary metastasectomy for metastatic SGC. We herein report a patient who underwent repeat pulmonary metastasectomies for recurrent pulmonary metastases from SGC. Case presentation Bilateral small pulmonary nodules were detected in a 59-year-old woman with a history of eyelid SGC. She underwent wide wedge resection of the left lower lobe, and the disease was diagnosed as pulmonary metastases from SGC. Six months after the first pulmonary resection, CT showed that the nodules of right S2 and S10 had increased in size, and three small nodules had newly appeared in the right lung. The patient therefore underwent six wide wedge resections of the right lung through thoracotomy. After that, she underwent pulmonary metastasectomy 2 times. Ninety months after the first pulmonary resection, the patient is doing well without disease. Conclusions Given that a long-term survival was ultimately achieved in the present case, repeat pulmonary metastasectomy may be beneficial for recurrent pulmonary metastasis from SGC.
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spelling doaj-art-a2f8aa46c1324fab926c49f5aa0a7c862025-08-20T03:37:05ZengJapan Surgical SocietySurgical Case Reports2198-77932020-08-01611510.1186/s40792-020-00947-1A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinomaSachi Kawagishi0Ryu Kanzaki1Seiji Taniguchi2Kenji Kimura3Toru Kimura4Hiroyuki Takabatake5Eiichi Morii6Masayoshi Inoue7Yasushi Shintani8Department of General Thoracic Surgery, Osaka University Graduate School of MedicineDepartment of General Thoracic Surgery, Osaka University Graduate School of MedicineDepartment of General Thoracic Surgery, Osaka University Graduate School of MedicineDepartment of General Thoracic Surgery, Osaka University Graduate School of MedicineDepartment of General Thoracic Surgery, Osaka International Cancer InstituteDepartment of Thoracic Surgery, Suita Municipal HospitalDepartment of Pathology, Osaka University Graduate School of MedicineDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of MedicineDepartment of General Thoracic Surgery, Osaka University Graduate School of MedicineAbstract Background Sebaceous gland carcinoma (SGC) of the eyelid is an aggressive malignant eyelid tumor, and it can metastasize to the regional lymph nodes and distant organs. There have been only a few reported cases of patients who underwent pulmonary metastasectomy for metastatic SGC. We herein report a patient who underwent repeat pulmonary metastasectomies for recurrent pulmonary metastases from SGC. Case presentation Bilateral small pulmonary nodules were detected in a 59-year-old woman with a history of eyelid SGC. She underwent wide wedge resection of the left lower lobe, and the disease was diagnosed as pulmonary metastases from SGC. Six months after the first pulmonary resection, CT showed that the nodules of right S2 and S10 had increased in size, and three small nodules had newly appeared in the right lung. The patient therefore underwent six wide wedge resections of the right lung through thoracotomy. After that, she underwent pulmonary metastasectomy 2 times. Ninety months after the first pulmonary resection, the patient is doing well without disease. Conclusions Given that a long-term survival was ultimately achieved in the present case, repeat pulmonary metastasectomy may be beneficial for recurrent pulmonary metastasis from SGC.http://link.springer.com/article/10.1186/s40792-020-00947-1Sebaceous gland carcinomaPulmonary metastasisSurgery
spellingShingle Sachi Kawagishi
Ryu Kanzaki
Seiji Taniguchi
Kenji Kimura
Toru Kimura
Hiroyuki Takabatake
Eiichi Morii
Masayoshi Inoue
Yasushi Shintani
A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma
Surgical Case Reports
Sebaceous gland carcinoma
Pulmonary metastasis
Surgery
title A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma
title_full A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma
title_fullStr A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma
title_full_unstemmed A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma
title_short A case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma
title_sort case of repeat resection for recurrent pulmonary metastasis from sebaceous gland carcinoma
topic Sebaceous gland carcinoma
Pulmonary metastasis
Surgery
url http://link.springer.com/article/10.1186/s40792-020-00947-1
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