Abstract

A 35-year-old man had a slowly enlarging tumor that has been presented for more than ten years on his occipital region.
The nodule had been excised and a radiation therapy had been performed at a different hospital ten years ago. Eight years later, the nodule recurred and an non radical resection was performed. He noticed a gradually enlarging solid tumor in the vicinity of the previous surgical scar, and visited our department. A wedge biopsy of the mass performed, and a diagnosis of epihtelioid sarcoma was made.
Examination revealed a 35×15mm in size, asymptomatic, rosecolored, subcutaneous, hard nodule on his occipital area with cervical lymphadenopathy.
Laboratory examination including chest roentgenogram, abdominal echogram, chest computed tomography, and Ga67 scintigram showed no evidence of systemic metastasis.
Treatment consisted of a wide en bloc resection of the tumor with radical cervical lymph node dissection : a right cervical lymph node was positive for metastatic tumor. The patient has been well with no recurrence of the disease after 9 months since the operation.