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<ul><li>Procedure: Wide local excision.</li><li>Tumor Type: Sebaceous carcinoma.</li><li>Grade: 2.</li><li>Tumor Site: Scalp</li><li>Tumor Size : 3x2.5 cm.</li><li>Lymph-vascular invasion: Not identified .</li><li>Perineural invasion: Not identified .</li><li>Depth of invasion: 1.2 cm.</li><li>Extent of infiltration: tumor is invading skeletal muscle superficially.</li></ul><p><strong><u>Margins:</u></strong></p><ul><li>Deep margin: 0.2 cm, close.</li><li>Other margins: from 1 to 1.5 cm, negative.</li></ul>
<p>Scalp ulcer.</p>
<p class="ql-align-justify">Skin elipse measured 5.8x5x1 cm, showing fairly defined ulcerated mass measuring 3x2.5 cm. Surgical clearances ranged from 1 to 1.5 cm.</p>
<h3><strong><em><u>Scalp ulcer, wide excision:</u></em></strong></h3><ul><li class="ql-align-justify"><strong>Sebaceous carcinoma, moderately differentiated. </strong></li><li class="ql-align-justify"><strong>Deep margin: close. Stage pT2N0Mx</strong></li></ul><h5 class="ql-align-justify"><strong><u>COMMENT:</u></strong></h5><h5>Extraocular sebaceous carcinomas have a 30-40% risk of local tumor recurrence, a 20-25% risk of distant metastasis, and a 10-30% risk of tumor-related mortality. Approximately 70% of all patients with sebaceous carcinoma survive for 5 years after diagnosis. </h5><p class="ql-align-justify"><br></p>
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