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Recurrent malignant acrospiroma. Treatment by chest wall excision
W P Long1, C Dupin, E A Levine
1Section of Surgical Oncology, Louisiana State University Medical Center, New Orleans, USA.
Summary
Malignant acrospiroma, a rare eccrine sweat gland tumor, is aggressive and difficult to diagnose. This case highlights successful treatment via radical resection and radiotherapy, with no recurrence after 16 months.
Area of Science:
- Dermatopathology
- Surgical Oncology
Background:
- Malignant acrospiroma is an uncommon, aggressive eccrine sweat gland tumor.
- Diagnosis is challenging clinically and histopathologically.
- Benign acrospiromas are more common and less invasive.
Observation:
- A 66-year-old female presented with a recurrent malignant acrospiroma.
- The tumor required extensive surgical intervention.
- Treatment involved wide radical resection, including chest wall excision.
Findings:
- The patient underwent reconstructive surgery and radiotherapy post-excision.
- After 16 months of follow-up, there was no evidence of local recurrence.
- No distant metastasis was detected during the follow-up period.
Implications:
- Aggressive surgical management combined with radiotherapy can be effective for recurrent malignant acrospiromas.
- This case underscores the importance of thorough surgical extirpation for this rare malignancy.
- Further research into optimal treatment strategies for malignant acrospiroma is warranted.