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KMID : 0363220210590020136
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Korean Journal of Dermatology
2021 Volume.59 No. 2 p.136 ~ p.139
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A Case of Syringoid Eccrine Carcinoma on the Shoulder
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Hwang Hye-Won
Lee Seon-Bok
Heo Ji-Hye
Shin Jeong-Hyun
Choi Gwang-Seong
Byun Ji-Won
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Abstract
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Syringoid eccrine carcinoma (SEC) is a rare cutaneous malignant tumor thought to be derived from eccrine sweat glands. It is usually present in the scalp and face and often occurs in the fourth to seventh decades of life. A 76-year-old female patient visited our department with a 3-year history of a lesion showing a 5×4 cm-sized erythematous firm plaque with ulceration on her right shoulder. Histological findings revealed a tumor consisting of numerous proliferating tubular structures with two layers of basaloid cells with cellular atypia. Some ductal structures showed a tadpole appearance. Based on these findings, the final diagnosis was SEC. The patient was treated with slow Mohs micrographic surgery and a full-thickness skin graft and did not show any recurrence during the follow-up period of 6 months. Herein, we report a very rare case of a 76-year-old woman diagnosed with SEC that developed on the right shoulder.
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KEYWORD
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Adenocarcinoma, Eccrine glands, Mohs surgery, Shoulder, Sweat gland neoplasms
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