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Sweat Gland Adenocarcinoma of the Scalp: A Case Report



Asilian A1, 2 ; Basiri A1, 2 ; Rajabi P3 ; Matin M1, 2
Authors
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Authors Affiliations
  1. 1. Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Dermatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Iranian Journal of Dermatology Published:2015

Abstract

Sweat gland adenocarcinoma is a relatively uncommon malignancy. Clinical features are painless red or violet papules and nodules that can occasionally become ulcerated. The biological behavior is aggressive and metastatic sweat gland carcinoma spreads through the lymphatic. The treatment of choice is wide surgical excision with regional lymph node dissection. The portrayed case was a 60-year-old female who presented with an ulcerative plaque on the scalp. Skin biopsy, radiologic examination, and immunohistochemistry (IHC) assay revealed adenocarcinoma of the sweat gland. Reconstructive surgery was performed immediately after Mohs surgery to repair the damaged site. © 2015 Iranian Society of Dermatology.