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Microcystic adnexal carcinoma.
Elizabeth Delshad1, Désirée Ratner
1Department of Dermatology, College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.
Skinmed
|November 13, 2004
Summary
A persistent, firm plaque on a woman's cheek, possibly linked to prior acne radiation, warrants investigation for potential skin cancer. Management requires a thorough dermatological evaluation and biopsy for accurate diagnosis.
Area of Science:
- Dermatology
- Oncology
- Medical Diagnostics
Background:
- A 71-year-old female patient with a long-standing skin lesion on her left cheek.
- History of radiation therapy for acne in the affected area.
- The lesion is described as a firm, flesh-colored plaque with whitish discoloration.
Observation:
- The plaque has been present for at least 15 years.
- The lesion measures 1.6 x 1.1 cm.
- Clinical presentation suggests a potentially neoplastic or pre-neoplastic condition.
Findings:
- Differential diagnosis includes various benign and malignant skin neoplasms.
- Actinic keratosis, squamous cell carcinoma, and other radiation-induced changes are considered.
- The chronic nature and appearance raise suspicion for a slow-growing malignancy.
Implications:
- Early and accurate diagnosis is crucial for effective management and patient outcomes.
- Biopsy and histopathological examination are essential for definitive diagnosis.
- Management strategies will depend on the confirmed diagnosis, ranging from observation to surgical excision or other oncological treatments.