| Microcystic adnexal carcinoma: report of four cases treated with Mohs' micrographic surgical technique. | |
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MedLine Citation:
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PMID: 15941444 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Microcystic adnexal carcinoma (MAC) is a rare and aggressive malignant tumor of the sweat glands. Clinically, it often presents as a firm subcutaneous nodule on the head and neck regions. On histology, MAC exhibits both pilar and sweat duct differentiation with a stroma of dense collagen. It often extends beyond the clinical margins with local spreading in the dermal, subcutaneous, and perineural tissue planes. It has a high local recurrence rate after standard excision. Recent preliminary reports have indicated more favorable cure rates with Mohs' micrographic surgery (MMS). OBJECTIVE: To present our data on four cases of MAC treated by MMS. We also compared our findings with more recently reported series in the English language literature. METHODS: We reviewed the medical records of four patients (two males and two females) with MAC treated by MMS over the last 3 years. We also obtained follow-up data. RESULTS: In all four patients with MAC treated by MMS, there were no recurrences, with a mean follow-up of 1 year. CONCLUSION: We report an additional four MAC cases treated by MMS. The accumulated data continue to confirm that, if the diagnosis of MAC is made early, and if the anatomic location is accessible to excision by MMS, a favorable outcome can be expected. |
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Authors:
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Amor Khachemoune; Suzanne M Olbricht; Darlene S Johnson |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: International journal of dermatology Volume: 44 ISSN: 0011-9059 ISO Abbreviation: Int. J. Dermatol. Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-06-08 Completed Date: 2005-10-25 Revised Date: 2006-10-30 |
Medline Journal Info:
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Nlm Unique ID: 0243704 Medline TA: Int J Dermatol Country: United States |
Other Details:
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Languages: eng Pagination: 507-12 Citation Subset: IM |
Affiliation:
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Georgetown University Medical Center, Division of Dermatology, Washington, DC, USA. amorkh@pol.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Carcinoma, Skin Appendage / diagnosis, surgery* Facial Neoplasms / diagnosis, surgery* Female Humans Male Middle Aged Mohs Surgery* Scalp / pathology, surgery* Skin Neoplasms / diagnosis, surgery* Surgical Flaps |
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