Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Microcystic Adnexal Carcinoma Misdiagnosed as Desmoplastic Trichoepithelioma on Preoperative Biopsy

  • Koh, Sung Hoon (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center) ;
  • Kang, Kwang Rae (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center) ;
  • Yang, Ji Hoon (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center) ;
  • Jung, Sung Won (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center) ;
  • Lee, Hyuck Jae (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University Medical Center)
  • Received : 2014.09.18
  • Accepted : 2015.04.02
  • Published : 2015.04.09
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Abstract

Microcystic adnexal carcinoma is a rare type of tumor, with about 300 cases reported globally. Due to its similar histology with other tumors, it is occasionally misdiagnosed as desmoplastic trichoepithelioma, basal cell carcinoma, syringoma, and so on. We present a patient with a mass on the perioral area who was preoperatively diagnosed with trichoepithelioma. Microcystic adnexal carcinoma was diagnosed after excisional biopsy and a wide excision. Defects were reconstructed with a mucosal advancement flap. There was no recurrence and there were no significant complications during the 18-month follow-up period. Because superficial punch biopsy has limitations in width and depth, surgeons should always consider the possibility of malignancy of a mass even if a biopsy shows a benign result.

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References

  1. Goldstein DJ, Barr RJ, Santa Cruz DJ. Microcystic adnexal carcinoma: a distinct clinicopathologic entity. Cancer 1982;50:566-72. https://doi.org/10.1002/1097-0142(19820801)50:3<566::AID-CNCR2820500330>3.0.CO;2-Q
  2. Chiller K, Passaro D, Scheuller M, Singer M, McCalmont T, Grekin RC. Microcystic adnexal carcinoma: forty-eight cases, their treatment, and their outcome. Arch Dermatol 2000;136:1355-9.
  3. Ohtsuka H, Nagamatsu S. Microcystic adnexal carcinoma: review of 51 Japanese patients. Dermatology 2002;204:190-3. https://doi.org/10.1159/000057880
  4. Friedman PM, Friedman RH, Jiang SB, Nouri K, Amonette R, Robins P. Microcystic adnexal carcinoma: collaborative series review and update. J Am Acad Dermatol 1999;41:225-31. https://doi.org/10.1016/S0190-9622(99)70053-8
  5. Choi YW, Oh SJ, Lee JW, Jang YC, Chae SW, Sohn JH. A clinical experience of microcystic adnexal carcinoma in lower lip and back. J Korean Soc Plast Reconstr Surg 2002;29:341-4.
  6. Kim IJ, Lim JS, Ahn ST, Lim P. A case of microcystic adnexal carcinoma. J Korean Soc Plast Reconstr Surg 1993;20:844-8.
  7. Billingsley EM, Fedok F, Maloney ME. Microcystic adnexal carcinoma. Case report and review of the literature. Arch Otolaryngol Head Neck Surg 1996;122:179-82. https://doi.org/10.1001/archotol.1996.01890140065012
  8. Yugueros P, Kane WJ, Goellner JR. Sweat gland carcinoma: a clinicopathologic analysis of an expanded series in a single institution. Plast Reconstr Surg 1998;102:705-10. https://doi.org/10.1097/00006534-199809010-00014
  9. Diamantis SA, Marks VJ. Mohs micrographic surgery in the treatment of microcystic adnexal carcinoma. Dermatol Clin 2011;29:185-90. https://doi.org/10.1016/j.det.2011.01.012
  10. Abbate M, Zeitouni NC, Seyler M, Hicks W, Loree T, Cheney RT. Clinical course, risk factors, and treatment of microcystic adnexal carcinoma: a short series report. Dermatol Surg 2003;29:1035-8.
  11. Lupton GP, McMarlin SL. Microcystic adnexal carcinoma. Report of a case with 30-year follow-up. Arch Dermatol 1986;122:286-9. https://doi.org/10.1001/archderm.1986.01660150064017

Cited by

  1. Microcystic Adnexal Carcinoma: A Rare, Commonly Misdiagnosed Malignancy vol.184, pp.11, 2015, https://doi.org/10.1093/milmed/usz123