Microcystic adnexal carcinoma: Management options based on long‐term follow‐up
Open Access
- 1 November 1995
- journal article
- case report
- Published by Wiley in The Laryngoscope
- Vol. 105 (11), 1197-1201
- https://doi.org/10.1288/00005537-199511000-00011
Abstract
Microcystic adnexal carcinoma (MAC), a recently described neoplasm that frequently affects the head and neck, presents a confusing problem for the clinician due to its unusual behavior. The individual cells have a bland microscopic appearance, and there is a predilection for neural invasion. Four cases of MAC are reported. All four cases demonstrate the difficulty with pathologic diagnosis. Follow‐up of as long as 33 years begins to delineate the protracted nature of MAC. In addition, this paper includes the first report of a case of lymph node metastasis. Although resection may result in a significant defect, negative margins may not be achieved. Despite this, the defect can heal, as demonstrated by the cases described. In addition, MAC may recur many years later, irrespective of the status of the margins at the time of surgery. Given these unusual characteristics and the slowly progressive nature of MAC, strong consideration must be given to less radical surgical procedures, with close follow‐up for grossly recurrent disease.Keywords
This publication has 14 references indexed in Scilit:
- Microcystic Adnexal CarcinomaThe Journal of Dermatologic Surgery and Oncology, 1994
- Microcystic adnexal carcinomaJournal of the American Academy of Dermatology, 1993
- Microcystic adnexal carcinoma of the skin: A reappraisal of the differentiation and differential diagnosis of an underrecognized neoplasmJournal of the American Academy of Dermatology, 1993
- Sclerosing-sweat-duct (microcystic adnexal) carcinoma-a tumour from a single eccrine originClinical and Experimental Dermatology, 1990
- Microcystic Adnexal Carcinoma with Mandibular Invasion and Bone Marrow ReplacementThe Journal of Dermatologic Surgery and Oncology, 1989
- Microcystic Adnexal Carcinoma: An Unpredictable Aggressive NeoplasmAnnals of Plastic Surgery, 1987
- Microcystic adnexal carcinoma—a case report and review of the literatureBritish Journal of Oral and Maxillofacial Surgery, 1986
- Microcystic adnexal carcinomaBritish Journal of Dermatology, 1986
- Microcystic Adnexal CarcinomaArchives of Dermatology, 1986
- Microcystic adnexal carcinomaJournal of the American Academy of Dermatology, 1984