Related Experiment Videos
[Aggressive digital papillary adenocarcinoma - case report].
A Daigeler1, H Fansa, M Tammer
1Klinik für Plastische, Wiederherstellungs- und Handchirurgie, Medizinische Fakultät der Otto-von-Guericke-Universität Magdeburg, Germany. adrien.daigeler@medizin.uni-magdeburg.de
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|June 20, 2002
Summary
Digital papillary adenocarcinoma, a rare sweat gland tumor, requires aggressive surgical treatment. Amputation and lymph node dissection are recommended due to unpredictable recurrence and metastasis risks.
Area of Science:
- Dermatopathology
- Surgical Oncology
Background:
- Digital papillary adenocarcinoma is a rare sweat gland tumor.
- It commonly affects the digits of the hands or feet.
Observation:
- A case of a 52-year-old mechanic with this tumor on the distal phalanx of the middle finger is presented.
- Initial primary excision was performed, followed by amputation and axillary lymphadenectomy after histological diagnosis.
Findings:
- No current clinical or histological parameters can predict recurrence or metastasis.
- Established criteria for distinguishing benign from malignant tumors do not reliably predict biologic behavior.
Implications:
- Metastasis occurs in 14% of patients within ten years.
- An aggressive surgical approach, including amputation and regional lymph node dissection, is proposed for digital papillary adenocarcinoma.