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Squamoid Eccrine Ductal Carcinoma: Treatment and Outcomes
Megan M Lim1, Jillian A Macdonald
1Division of Dermatology, Department of Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada.
Background:
Squamoid eccrine ductal carcinoma (SEDC) represents a subtype of eccrine carcinomas that are diagnostically challenging for both clinicians and dermatopathologists.
Objective:
To provide an updated review of SEDC and examine patient outcomes with different treatment modalities.
Methods:
A review of Ovid MEDLINE was performed to review the English language medical literature of SEDC.
Results:
A comprehensive review of clinical presentation, histologic findings, rates of lymphovascular and metastatic disease, treatment modalities and recurrence rates are reviewed.
Limitations:
There is a limitation on available data because of the rare incidence.
Conclusions:
SEDC is a rare adnexal neoplasm with a relatively high rate of local recurrence, lymphovascular invasion, perineural invasion, and metastases. Clinicians should be aware of this entity as close follow-up is essential to detect recurrence and metastatic disease. Mohs micrographic surgery seems to result in superior patient outcomes.
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