Longtime undetected microcystic adnexal carcinoma of the scalp: considerations and implications

Kühn, Christian; Schnabl, Christina; Rustemeyer, Jan

doi:10.1007/s10006-015-0534-1

Cited by 1 publication

(2 citation statements)

References 11 publications

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“…However, other studies as the one of Kühn et al . affirm that 1cm margin is enough ( 8 ); but others are even more aggressive, with 3cm margin recommendation ( 7 ). In our patient we decided a resection of the lesion with 1cm circumferential margin and immediate reconstruction with local advancement flap.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery remains as the first-choice treatment, either wide resection with margins or MOHS surgery, in order to avoid its high recurrence rate ( 4 , 7 , 8 ). If surgery cannot be done or free margins are not possible, radiotherapy has been proposed as adjuvant therapy or even monotherapy; with no consensus on its efficacy nor its protocol of treatment ( 4 , 7 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

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Microcystic Adnexal Carcinoma. A Rare Entity

Sada-Urmeneta,

Benito-Anguita,

Agra

et al. 2024

J Clin Exp Dent

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Background Microcystic adnexal carcinoma is a rare malignant tumour derived from sweat glands, locally aggressive, but with low rate of lymphatic or metastatic spread. Tends to affect the deep dermis, without affection of epidermis. Surgery remains as the first line treatment. Case Report We present a case of a 46-year-old woman with a slow growing lesion of the upper lip, with biopsy diagnosis of microcystic adnexal carcinoma. She underwent a resection and reconstruction with local advancement flaps. The final anatomopathological study showed an adnexal epithelial neoplasm with imprecise borders, poorly delimited, non-encapsulated, growing in plaque-like formation from the superficial dermis into the adipose tissue, perineural invasion, without epidermal infiltration. Discussion It is an extremely rare malignant tumour, appearing as a solitary papule or plaque affecting the central face, that often affect middle-aged caucasic, female patients. Usual local aggressive nature, characterized by small nests and strands of cells in deep dermis and perineural-invasion images, absent in superficial tissue. An incisional biopsy is need to make a correct diagnosis. Due to its rarity there is no consensus on the best management and follow-up. The microcystic adnexal carcinoma should be taken into consideration in the differential diagnosis. Key words: Microcystic adnexal carcinoma, lip, histopathology.

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Section: Discussionmentioning

confidence: 99%