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Publicación cuatrimestral editada por la Secretaría de Salud Jalisco

2023, Number S1

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Sal Jal 2023; 10 (S1)

Microcystic adnexal carcinoma a clinical-diagnostic challenge

Sánchez-Tadeo MT, Ferguson-Rodríguez CA, Fajardo-Barajas D, Munguía-Sánchez JA, Carrillo-Manguart V, Alcázar-García LB

Language: Spanish
References: 12
Page: s51-55
PDF size: 257.82 Kb.


ABSTRACT

Introduction: the microquistic anexial carcinoma is rare, asymptomatic and malignant cutaneous neoplasm, it can display both ductal and follicular differentiation because is developed from a pluripotent adnexal keratinocyte. In caucasic people the average age of incidence is between the 60 to 70 years old. Most frecuently manifest as a unique, red plaque or papule, in those areas of skin which are exposed to sunlight in head and neck. Its presentation most of the times benign, results as a missed diagnosis and missed treatment that increases the risk of local invasion. There are a few cases of this carcinomas reported in medical literature, we have to keep it in mind like a differential diagnosis of facial neoplasms. Clinical case: we present a case of a patient without risk factors to develop it and not in the average of presentation. Conclusion: microcystic adnexal carcinoma is a rare neoplasm, slow growing, invasive and locally destructive, very rarely produces metastases; it is important to make the differential diagnosis with the most confused neoplasm, which is basal cell carcinoma and make use of extra tools such as immunohistochemistry and if necessary make consensus among experts.


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