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Sweat gland carcinoma - a case report.

P K Bhattacharjee¹, G Ghosh, Debashis Bhattacharya

¹Department of Surgery, RG Kar Medical College, Kolkata.

Journal of the Indian Medical Association

|June 14, 2011

Summary

A rare case of sweat gland adenocarcinoma presented as indolent axillary ulcers in a 54-year-old male. Surgical excision and radiotherapy led to a positive outcome, highlighting effective treatment for this uncommon malignancy.

Area of Science:

Dermatopathology
Surgical Oncology

Background:

Sweat gland adenocarcinoma is a rare malignant neoplasm originating from sweat glands.
Axillary presentation of this cancer is uncommon, often mimicking benign conditions.

Observation:

A 54-year-old male presented with painless, indolent ulcers (approx. 5 cm diameter) in the left axilla.
Ulcers were fixed to underlying structures, with palpable enlargement of pectoral, apical, and central lymph nodes.

Findings:

Incisional biopsy revealed adenocarcinoma of the sweat glands.
Histopathological confirmation is crucial for diagnosing this rare malignancy.

Implications:

Wide local excision with a 2 cm margin is a viable surgical approach.

Related Experiment Videos

Adjuvant radiotherapy can be beneficial in managing sweat gland adenocarcinoma.

Early diagnosis and multimodal treatment are key for favorable outcomes in rare skin cancers.