Sebaceous Carcinoma of the Nose Reconstructed With a Superiorly Based Folded Nasolabial Flap.

Abstract

Sebaceous carcinoma is a rare and aggressive malignant tumor that originates from sebaceous glands, most commonly in the periocular region. Extraocular manifestations, particularly on the nose, are exceptionally uncommon. A 91-year-old female patient presented to the plastic surgery clinic with a painless nodular mass on the nose. A punch biopsy confirmed sebaceous carcinoma, prompting a full-thickness lateral alar resection with immediate reconstruction using a superiorly based folded nasolabial flap. The surgical wound healed without complications, achieving favorable functional and aesthetic outcomes. This case underscores the need to consider sebaceous carcinoma among the differential diagnoses for nasal tumors to enable timely identification and treatment.