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Malignant acrospiroma.

G J Stagnone1, J O Kucan, K Gross

  • 1Department of Surgery, Southern Illinois University, Springfield 62794.

The Journal of Hand Surgery
|November 1, 1990
PubMed
Summary
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A rare malignant acrospiroma in a 76-year-old woman was successfully treated with excision, skin grafting, and ray amputation. The patient remained disease-free at 14 months, indicating effective management of this aggressive skin cancer.

Area of Science:

  • Dermatology
  • Surgical Oncology
  • Oncopathology

Background:

  • Malignant acrospiromas are rare, aggressive skin neoplasms with a historically poor prognosis.
  • Early and accurate diagnosis is crucial for effective management and improved patient outcomes.
  • Squamous cell carcinoma can be a differential diagnosis for ulcerated skin masses.

Observation:

  • A 76-year-old female presented with an ulcerated mass on her right long finger.
  • Initial biopsy suggested poorly differentiated squamous cell carcinoma.
  • Subsequent excision and skin grafting led to a diagnosis of malignant acrospiroma.

Findings:

  • The malignant acrospiroma was treated with a combination of surgical excision, skin grafting, and ray amputation.
  • The surgical specimen after ray amputation was confirmed to be free of residual tumor.

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  • The patient demonstrated no evidence of disease recurrence at a 14-month follow-up.

    • Implications:

    • Aggressive surgical management, including amputation when necessary, can be effective for malignant acrospiromas.
    • Complete tumor resection is critical for achieving disease-free survival in these rare tumors.
    • This case highlights the importance of considering rare diagnoses and employing radical surgical approaches for aggressive skin cancers.