Nevus sebaceus in Adult
Nevus sebaceus may be found on the face or neck, and less frequently, the torso or extremities may be affected. It may be multifocal following the lines of Blaschko. Extensive or multifocal lesions may be associated with the nevus sebaceus syndrome (also known as the sebaceous nevus syndrome; Schimmelpenning syndrome), where it is accompanied by neurological, ocular, cardiovascular, skeletal, and urologic abnormalities. Phakomatosis pigmentokeratotica is the presence of a speckled lentiginous nevus and a linear nevus sebaceus.
In late adolescence through adulthood, numerous secondary neoplasms may arise in a nevus sebaceus. This occurs in a small percentage of cases. They are mostly benign adnexal tumors such as trichoblastoma and syringocystadenoma papilliferum. Trichilemmomas, eccrine poromas, and sebaceomas have also developed. The most commonly encountered malignancy to arise within nevus sebaceus is basal cell carcinoma (BCC). The frequency of BCC in nevus sebaceus is thought to have been previously over-reported, with most BCC cases having been reinterpreted as trichoblastomas. Squamous cell carcinoma and sebaceous carcinoma develop very rarely, and a case each of microcystic adnexal carcinoma and melanoma has been reported.
D23.9 – Other benign neoplasm of skin, unspecified
707136009 – Nevus sebaceous
Differential Diagnosis & Pitfalls