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Microcystic adnexal carcinoma treated by microscopically controlled excision
The Journal of Dermatologic Surgery and Oncology
|November 1, 1984
Summary
Microcystic adnexal carcinoma, a rare skin cancer, can be aggressive. Microscopically controlled excision offers a successful treatment for this deeply invasive neoplasm.
Area of Science:
- Dermatology
- Oncology
- Surgical Pathology
Background:
- Microcystic adnexal carcinoma (MAC) is a rare cutaneous neoplasm.
- It exhibits combined pilar and eccrine differentiation.
- Clinically, MAC can be mistaken for other adnexal tumors.
Observation:
- A 47-year-old male presented with MAC on the left cheek.
- The tumor demonstrated deep dermal and subcutaneous invasion.
- The patient had a history of teenage radiation therapy.
Findings:
- Microscopically controlled excision (MCE) was performed for the MAC.
- The surgical excision achieved complete tumor removal with clear margins.
- MCE proved to be a successful therapeutic approach for this invasive cancer.
Implications:
- This case highlights the effectiveness of MCE in managing deeply invasive MAC.
- Understanding the potential link between early-life radiation and MAC etiology warrants further investigation.
- Accurate diagnosis and aggressive local treatment are crucial for favorable outcomes in MAC patients.