This skin lesion from the abdomen of a middle-aged adult female patient was biopsied and diagnosed by pathology as sebaceous carcinoma. Which of the following statements regarding sebaceous carcinoma is most accurate?
a. Sebaceous carcinoma usually occurs in children
b. The majority of sebaceous carcinomas occur on the skin of the abdomen
c. Sebaceous carcinoma is pathognomonic of Muir-Torre syndrome
d. Sebaceous carcinomas can recur, and distant metastases and death occur in a subset of patients