A Case of Multiple Recurred Mucinous Eccrine Carcinoma

수 차례 국소 재발한 피부 점액성 에크린 암

  • Lee, Yoon-Jung (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital, Gyeongsang National University) ;
  • Lee, Kyung-Suk (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital, Gyeongsang National University) ;
  • Kim, Nam-Gyun (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital, Gyeongsang National University) ;
  • Kim, Jun-Sik (Department of Plastic and Reconstructive Surgery, Institute of Health Sciences, College of Medicine and Hospital, Gyeongsang National University)
  • 이윤정 (경상대학교 의학전문대학원 성형외과학교실) ;
  • 이경석 (경상대학교 의학전문대학원 성형외과학교실) ;
  • 김남균 (경상대학교 의학전문대학원 성형외과학교실) ;
  • 김준식 (경상대학교 의학전문대학원 성형외과학교실)
  • Received : 2010.09.29
  • Accepted : 2011.01.06
  • Published : 2011.03.10

Abstract

Purpose: Mucinous eccrine carcinoma of the skin is rare skin adnexal malignant tumor, which most commonly occurs in the head and neck regions. This tumor, although rarely metastatic, has a high incidence of local recurrence. We report a case of mucinous eccrine carcinoma developed on the Lt. cheek which was treated by Mohs surgery. Methods: The patient was a 53-year-old man who showed a palpable skin-colored $1.5{\times}1.5cm$ sized mass on Lt. cheek. We treated it by wide excision, but it recurred several times on the same region. So we finally did the Mohs surgery and full thickness skin graft. Results: The histologic characteristics are large mucinous pools with fibrous septae and clusters of tumor cells. Special stains showed that the mucin was positive reactivity on Periodic acid Schiff. Also the immunocytochemical studies showed a positive reactivity to carcinoembryonic antigen, S-100 protein, cytokeratin-7. Therefore pathologist reported it as a mucinous eccrine carcinoma. Conclusion: Authors experienced a rare case of primary mucinous eccrine carcinoma on Lt. cheek which had recurred several times. Because of the high local recurrence rate, we did the Mohs surgery and got an good result. Therefore the early Mohs surgery would be a good choice to primary mucinous eccrine carcinoma.

Keywords

References

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