Aggressive scalp and sternal lesion: a presentation of rare case of metastatic eccrine carcinoma

Cha Sha Rownose and Mohamad Sobri Mohamad Saupi and Siti Zubaidah Sharif and Nik Amin Sahid Nik Lah (2021) Aggressive scalp and sternal lesion: a presentation of rare case of metastatic eccrine carcinoma. Annals of Medicine and Surgery, 65. pp. 1-4. ISSN 2049-0801 (E-ISSN)

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URL: https://www.sciencedirect.com/science/article/pii/...

Abstract

Introduction: Ductal Eccrine carcinoma (DEC) is a rare primary cutaneous tumor that exhibits both squamous and adnexal ductal differentiation. Due to its rarity in clinical practice we present as case of DEC and a literature review on the latest management of this rare disease. Case presentation: We report a case 41 years old female presented with lesion on the scalp and sternal mass, increasing in size with itchiness and erythematous for 6 months duration. Further CECT scan of brain and neck shows features of malignant left frontal scalp lesion with poor plane with overlying skin and underlying skull bone and CECT of thorax shows a large, irregular heterogeneously enhancing mass with necrotic center noted at right hilar within superior segment of right lower lobe, encasing right middle and lower lobe bronchi. Wedge biopsy of scalp lesion showed an intradermal lesion extensively infiltrating by malignant gland accompanied by desmoplasia and the tumor cells are seen extending into the surgical margins suggestive of ductal eccrine carcinoma. Clinical Discussion:This case highlights the importance and challenges in achieving early diagnosis coupled with the scarcity of information on these leads to difficulty in managing this patient. Conclusion: In managing Ductal Eccrine Carcinoma tumor, standard method of treatment for has not been established. However, wide surgical excision is the treatment of choice for localized lesions. Regarding prognosis, there is conflicting data published which we describe in this article.

Item Type:	Article
Keyword:	Eccrine carcinoma , Sweat gland carcinoma
Subjects:	R Medicine > R Medicine (General)
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	29 Jul 2021 10:13
Last Modified:	29 Jul 2021 10:13
URI:	https://eprints.ums.edu.my/id/eprint/28941

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