Mucoepidermoid carcinoma arising within nevus sebaceus of Jadassohn


A. Hafeez Diwan, MD, PhD, Dermatopathology, Department of Pathology, UT MD Anderson Cancer Center, 1515 Holcome Blvd, Box 85, Houston, TX 77030, USA
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Background:  Nevus sebaceus (NS) of Jadassohn is a common congenital lesion associated with numerous benign and malignant tumors. However, mucoepidermoid carcinoma (MEC) has not been described in association with NS.

Methods:  We describe an unusual case of MEC arising within NS.

Results:  A 72-year-old man presented with an enlarging plaque on his forehead, along the hairline. Physical examination revealed a mounded, erythematous lesion that was completely excised. Histological evaluation revealed a typical MEC with areas of squamous and adenomatous differentiation with foci of typical intermediate cells.

Conclusion:  The diagnosis of MEC is an important one, because it portends a poor prognosis, requiring long follow-up. This is, to our knowledge, the first report of MEC arising within NS.