Title
Microcystic adnexal carcinoma. Case report and review of the literature
UMMS Affiliation
Department of Medicine, Division of Dermatology
Publication Date
1996-02-01
Document Type
Article
Subjects
Adult; Biopsy; Carcinoma, Skin Appendage; Diagnosis, Differential; Diagnostic Errors; Humans; Male; Mohs Surgery; Neoplasm Invasiveness; Nose Neoplasms; Rhinoplasty; Skin Transplantation
Disciplines
Dermatology | Neoplasms | Skin and Connective Tissue Diseases
Abstract
Microcystic adnexal carcinoma is an aggressive, locally destructive cutaneous neoplasm with a high rate of recurrence. This tumor is often misdiagnosed clinically and histologically. It usually occurs in middle-aged to older adults. We describe a 44-year-old man with a large microcystic adnexal carcinoma that was present for more than 20 years. The tumor invaded the perichondrium, muscle, nerve, and blood vessel adventitia. A review of the literature suggests that these tumors are often histologically misdiagnosed because the biopsy specimens may be too small to reveal all the characteristic histologic features. The clinical presence of marked induration, a smooth surface, and, possibly, sensory changes should alert the clinician to the possibility of this neoplasm. The initial biopsy specimen must be large enough to demonstrate the identifying histologic features. Mohs surgery is currently the treatment of choice for microcystic adnexal carcinoma, as it often spreads far beyond clinically evident tumor.
DOI of Published Version
10.1001/archotol.1996.01890140065012
Source
Arch Otolaryngol Head Neck Surg. 1996 Feb;122(2):179-82. doi:10.1001/archotol.1996.01890140065012
Journal/Book/Conference Title
Archives of otolaryngology--head and neck surgery
Related Resources
PubMed ID
8630212
Repository Citation
Billingsley EM, Fedok FG, Maloney ME. (1996). Microcystic adnexal carcinoma. Case report and review of the literature. Dermatology Publications. https://doi.org/10.1001/archotol.1996.01890140065012. Retrieved from https://escholarship.umassmed.edu/derm_pubs/13
Comments
At the time of publication, Mary E. Maloney was not yet affiliated with the University of Massachusetts Medical School.