Abstract
An 86-year-old man presented to us with an ulcerative exophytic tumor in the left preauricular area. The tumor was 50 × 40 × 50mm in size, and had invaded the superficial layer of the parotid gland. Histologically, it was diagnosed as sebaceous carcinoma. The scheduled surgical operation needed to be postponed due to complications of pneumonia. The tumor was treated with radiation therapy using 60 Gy of X ray beam instead of an operation, because the tumor had become too large. The tumor responded to the therapy and became flattened 5 months after the therapy.[Skin Cancer (Japan) 2012 ; 27 : 166-170]