Characteristics of sebaceous carcinoma and early outcomes of treatment using mohs micrographic surgery versus wide local excision: An update of the mayo clinic experience over the past 2 decades

Jennifer L. Hou, Jill M. Killian, Christian Baum, Clark C. Otley, Randall K. Roenigk, Christopher J. Arpey, Amy L. Weaver, Jerry D. Brewer

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15 Citations (Scopus)

Abstract

BACKGROUND Sebaceous carcinoma (SC) is a rare cutaneous neoplasm. OBJECTIVE To characterize SC and treatment approaches and outcomes. METHODS AND MATERIALS We retrospectively reviewed records of patients with SC from 1992 through 2012. Recurrence-free survival was estimated and compared between groups. RESULTS We identified 52 patients with SC (39, 75.0% male). Mean age standard deviation at diagnosis was 72.7 10.8. Forty-nine patients (94.2%) were white. Twenty-one (of 29 with known status) had a diagnosis of Muir-Torre syndrome. Six had multiple primary SCs (total of 73 SCs in 52 patients). The most common locations for SC were the back (20.5%), cheek (13.7%), nose (11.0%), and eye (9.6%). Treatment was recorded for 70 SCs; 35 (50.0%) were treated using Mohs micrographic surgery (MMS) and 26 (37.1%) using wide local excision (WLE). Of the 45 patients (66 SCs) with clinical follow-up, three (6.7% of patients; 4.8% of SCs) had documented recurrence. CONCLUSION MMS and WLE are effective treatments for SC. Further research is warranted to determine whether one treatment is more efficacious than the other.

Original languageEnglish (US)
Pages (from-to)241-246
Number of pages6
JournalDermatologic Surgery
Volume40
Issue number3
DOIs
StatePublished - 2014

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Mohs Surgery
Carcinoma
Muir-Torre Syndrome
Recurrence
Cheek
Skin Neoplasms
Nose
Therapeutics
Survival
Research

ASJC Scopus subject areas

  • Dermatology
  • Surgery

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Characteristics of sebaceous carcinoma and early outcomes of treatment using mohs micrographic surgery versus wide local excision : An update of the mayo clinic experience over the past 2 decades. / Hou, Jennifer L.; Killian, Jill M.; Baum, Christian; Otley, Clark C.; Roenigk, Randall K.; Arpey, Christopher J.; Weaver, Amy L.; Brewer, Jerry D.

In: Dermatologic Surgery, Vol. 40, No. 3, 2014, p. 241-246.

Research output: Contribution to journalArticle

Hou, Jennifer L. ; Killian, Jill M. ; Baum, Christian ; Otley, Clark C. ; Roenigk, Randall K. ; Arpey, Christopher J. ; Weaver, Amy L. ; Brewer, Jerry D. / Characteristics of sebaceous carcinoma and early outcomes of treatment using mohs micrographic surgery versus wide local excision : An update of the mayo clinic experience over the past 2 decades. In: Dermatologic Surgery. 2014 ; Vol. 40, No. 3. pp. 241-246.
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abstract = "BACKGROUND Sebaceous carcinoma (SC) is a rare cutaneous neoplasm. OBJECTIVE To characterize SC and treatment approaches and outcomes. METHODS AND MATERIALS We retrospectively reviewed records of patients with SC from 1992 through 2012. Recurrence-free survival was estimated and compared between groups. RESULTS We identified 52 patients with SC (39, 75.0{\%} male). Mean age standard deviation at diagnosis was 72.7 10.8. Forty-nine patients (94.2{\%}) were white. Twenty-one (of 29 with known status) had a diagnosis of Muir-Torre syndrome. Six had multiple primary SCs (total of 73 SCs in 52 patients). The most common locations for SC were the back (20.5{\%}), cheek (13.7{\%}), nose (11.0{\%}), and eye (9.6{\%}). Treatment was recorded for 70 SCs; 35 (50.0{\%}) were treated using Mohs micrographic surgery (MMS) and 26 (37.1{\%}) using wide local excision (WLE). Of the 45 patients (66 SCs) with clinical follow-up, three (6.7{\%} of patients; 4.8{\%} of SCs) had documented recurrence. CONCLUSION MMS and WLE are effective treatments for SC. Further research is warranted to determine whether one treatment is more efficacious than the other.",
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N2 - BACKGROUND Sebaceous carcinoma (SC) is a rare cutaneous neoplasm. OBJECTIVE To characterize SC and treatment approaches and outcomes. METHODS AND MATERIALS We retrospectively reviewed records of patients with SC from 1992 through 2012. Recurrence-free survival was estimated and compared between groups. RESULTS We identified 52 patients with SC (39, 75.0% male). Mean age standard deviation at diagnosis was 72.7 10.8. Forty-nine patients (94.2%) were white. Twenty-one (of 29 with known status) had a diagnosis of Muir-Torre syndrome. Six had multiple primary SCs (total of 73 SCs in 52 patients). The most common locations for SC were the back (20.5%), cheek (13.7%), nose (11.0%), and eye (9.6%). Treatment was recorded for 70 SCs; 35 (50.0%) were treated using Mohs micrographic surgery (MMS) and 26 (37.1%) using wide local excision (WLE). Of the 45 patients (66 SCs) with clinical follow-up, three (6.7% of patients; 4.8% of SCs) had documented recurrence. CONCLUSION MMS and WLE are effective treatments for SC. Further research is warranted to determine whether one treatment is more efficacious than the other.

AB - BACKGROUND Sebaceous carcinoma (SC) is a rare cutaneous neoplasm. OBJECTIVE To characterize SC and treatment approaches and outcomes. METHODS AND MATERIALS We retrospectively reviewed records of patients with SC from 1992 through 2012. Recurrence-free survival was estimated and compared between groups. RESULTS We identified 52 patients with SC (39, 75.0% male). Mean age standard deviation at diagnosis was 72.7 10.8. Forty-nine patients (94.2%) were white. Twenty-one (of 29 with known status) had a diagnosis of Muir-Torre syndrome. Six had multiple primary SCs (total of 73 SCs in 52 patients). The most common locations for SC were the back (20.5%), cheek (13.7%), nose (11.0%), and eye (9.6%). Treatment was recorded for 70 SCs; 35 (50.0%) were treated using Mohs micrographic surgery (MMS) and 26 (37.1%) using wide local excision (WLE). Of the 45 patients (66 SCs) with clinical follow-up, three (6.7% of patients; 4.8% of SCs) had documented recurrence. CONCLUSION MMS and WLE are effective treatments for SC. Further research is warranted to determine whether one treatment is more efficacious than the other.

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