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Recurrent sebaceous carcinoma of the eyelid: Outcome after postoperative reirradiation
Author(s) -
Sahai Puja,
Shukla Nootan Kumar,
Arora Saurabh,
Mohanti Bidhu Kalyan
Publication year - 2016
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24089
Subject(s) - medicine , sebaceous carcinoma , eyelid , radiation therapy , surgery , adjuvant radiotherapy , carcinoma , distant metastasis , salvage therapy , radiology , cancer , metastasis , chemotherapy
Background The purpose of this study was for us to describe a case of recurrent sebaceous carcinoma treated with postoperative reirradiation. Methods A 38‐year‐old man was diagnosed with sebaceous carcinoma of the right lower eyelid. The patient developed local recurrence 4 times, with the first one at 30 months after the excision. The first local recurrence was treated with excision and postoperative radiotherapy with 60 Gy/30 fractions/6 weeks. He manifested preauricular nodal metastasis with the third local recurrence, which was confirmed with 18 F‐fluorodeoxyglucose positron emission tomography‐CT ( 18 F‐FDG PET‐CT). He received 2 courses of adjuvant reirradiation to the right orbit with 45 Gy/25 fractions/5 weeks and 30 Gy/15 fractions/3 weeks, respectively. Results The patient was successfully treated with no evidence of locoregional recurrence at 2 years after the cancer‐directed therapy. The patient's follow‐up from the date of diagnosis has been 9 years. Conclusion Adjuvant reirradiation with modest doses may be considered with a view to provide disease control and long‐term survival. © 2015 Wiley Periodicals, Inc. Head Neck 38: E16–E19, 2016