Abstract
To the Editor: Sebaceous carcinoma (SC) is a rare cutaneous malignancy with potential for lymph node or distant metastasis. Most SC presents as localized disease, but periocular SC manifests distinct tumor behavior from extraocular SC with a greater propensity for metastasis. Present guidelines suggest that American Joint Committee on Cancer, Eighth Edition stage T2c periocular or greater tumors can be considered for sentinel lymph node biopsy (SLNB), although SLNB is not recommended for extraocular SC because subclinical nodal metastasis is thought to be uncommon in this setting.
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