I had a breast tumour with that pattern, one year post op. True to form, highly hormone positive with a low Onco score of 9. Doctors didn’t mention it much but it was in my pathology report.
Hello Dr McKee, I have a lower right eyelid tumor that has been treated as a reoccurring stye. It’s been present for about 5-6 months and has never “gone away”. I have been following home-care recommendations with hot compresses, but have not been able to express anything. About 2 months ago, it got very infected and I went to urgent care. I was prescribed oral and otic antibiotics and was diagnosed with a right lower lid stye. After that time, after a warm compress, it erupted (but from the inside, not from the little hole on the grey line). That was the only time it actually drained (and it was cottage cheese-like nasty). However, it never got “better” after 2 weeks of antibiotics. Now, the lower lid possesses a yellow (with blood vessels), flat tumor (roughly .5mm x 2mm), grey line to lower lid (seen when you invert my eyelid or you can feel it too). No missing lashes or grey line disruption, but I have had a feeling of fullness in the orbit. I went to Callahan Eye Hospital in Birmingham Alabama this weekend and neither Optometrist’s had ever seen anything like it. I have an appointment tomorrow with Dr John A Long (an Occuloplasticsurgeon at Callahan) for consult. In case you actually read this by tomorrow morning, what are your thoughts? Incidentally, I’ve been having terrible GI issues with distention and diarrhea, but no weight loss (Muir Terre??) I’m 50 years old and grew up in Fort Lauderdale, Florida (many burns and sun exposure). I’m really worried about a sebaceous carcinoma. What should I be asking Dr Long at my appointment tomorrow?
Hi Philip, I found your channel when searching for info as I wanted to learn more about trichoblastic carcinoma as I was diagnosed with one. I was first told I had a malignant cylindroma and then TC. As it is so rare, my doctors couldn't tell me much about it. I would be interested in learning more and sharing with you if it helps your research.
Doctor can you plz tell me that is it very serious my father had a lump on the lower eyelid since 1.5 years and has gone through wide excision there is no other symptom of the body the esr level was 36 is it very dangerous ?
You, sir, are my hero. I used your textbook as a frosh derm resident, and I still love and use your textbook. I could never love Weedon or Elder or Ackerman the way I love your books! Just...thank you.
Fantastic stuff Philip. As a trainee I sometimes mistake an exam case which was sebaceoma as sebaceous carcinoma. I guess in sebaceoma lots of mitoses are allowed and a great preponderance of basaloid/germinative cells are allowed. Are these the features to call it sebaceous carcinoma?: any necrosis, any atypical mitosis, doing LVI or PNI. What about a partially infiltrative (non-pushing) edge? Thanks great talk on a tricky uncommon to rare tumour.
Yes, sebaceoma can have a lot of mitoses but they are never abnormal. In addition, there will be no nuclear pleomorphism, necrosis or other features of malignancy. The presence of well developed sebaceous ducts is a great clue for sebaceoma.
Lovely talk full of pearls and wisdom. Thank you Dr. Mckee. I agree that for the never ending ddx between BCC and TB, histology is still the KING....😊😊
Thank you, Philip for this wonderful history of your life. We only met once at one of the Thursday meetings at St Johns in St Thomas’. I think you were highly surprised to hear a Belfast voice from behind you. I knew Florence McKeown and Ingrid well. As I a dermatologist who’s basic training began in Belfast I was always aware the there had been “tensions” between one of my seniors and you!! Your record of events confirms in part my suspicions. However, you have gone on to become a World Great. I remain a dermatologist through and through, a ex Editor of BJD and President of BAD. I suspect I will never post anything on McKee Dermpath but really enjoy seeing and learning from the cases. Posting is difficult for medicolegal reasons and as a dermatologist I have only minimal to contribute. I also know Anthony de Vivier and enjoyed his book. Please do not be dispirited when people do not respond. Some of us feel like watching the good and the great. You did well from your start in Belfast. May you have many years of happiness with Grace. Best wishes from Belfast.
I admit that Mckee Derm is the only way worldwide where one can see huge number of interesting cases , trying to join for commenting ,enjoying with reading different opinions and finally waiting for the expert opinion from our great mentor Phillip Mckee Thanks dear Professor 🙏😍
Hello! I was diagnosed with Follicular Mucinosis when I was 17y/o (restricted to the area of the face), currently I am 29 and the condition has been managed with isotretinoin which has worked amazingly. It continues to flare up from time to time but one or two pills keep it under control for months at a time at this point. Had a biopsy before the pandemic and there are no signs of mycosis fungoides. Have you found any other treatments that have shown positive results?
