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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.
- Adjuvant radiotherapy can be beneficial in managing sweat gland adenocarcinoma.
- Early diagnosis and multimodal treatment are key for favorable outcomes in rare skin cancers.
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