[Microcystic adnexal carcinoma of the skin. An underestimated tumor]

Claudia Rank, C Rank, B C Bastian, Boris C. Bastian, H. Pistner, Eva‐Bettina Bröcker, E B Bröcker, Henning Hamm, H Hamm
Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete · 1996 · vol. 47(4) , pp. 284–288 · doi:10.1007/s001050050416 · PMID:8655313 · W1411221051
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This paper discusses the diagnosis and treatment of microcystic adnexal carcinoma, a rare cutaneous neoplasm, through a case report of an 81-year-old woman treated with micrographic surgery.

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Abstract

Microcystic adnexal carcinoma is a rare semimalignant cutaneous neoplasm characterised by slow but locally aggressive growth. Its histogenesis and nomenclature are still a subject of controversy. Under-recognition and the tumor's bland cytologic features lead to frequent misdiagnoses. In addition, subclinical tumour invasion explains the high incidence of local recurrence. Thus, the tumour makes great demands on the planning of its surgical removal. We report the case of an 81-year-old woman with a microcystic adnexal carcinoma of the lower lip, which was treated by micrographic surgery. On the basis of this case, differential diagnoses, histogenesis and micrographic surgery as the treatment of choice are discussed.

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MeSH descriptors

Carcinoma, Skin Appendage Facial Neoplasms Skin Neoplasms Aged Aged, 80 and over Biopsy Carcinoma, Skin Appendage Carcinoma, Skin Appendage Dermatologic Surgical Procedures Diagnosis, Differential Facial Neoplasms Facial Neoplasms Female Humans Neoplasm Invasiveness Skin Skin Skin Neoplasms Skin Neoplasms

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