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어깨에 발생한 관상 에크린암 1예

A Case of Syringoid Eccrine Carcinoma on the Shoulder

대한피부과학회지 2021년 59권 2호 p.136 ~ 139
황혜원, 이선복, 허지혜, 신정현, 최광성, 변지원,
소속 상세정보
황혜원 ( Hwang Hye-Won ) - Inha University School of Medicine Department of Dermatology
이선복 ( Lee Seon-Bok ) - Inha University School of Medicine Department of Dermatology
허지혜 ( Heo Ji-Hye ) - Inha University School of Medicine Department of Dermatology
신정현 ( Shin Jeong-Hyun ) - Inha University School of Medicine Department of Dermatology
최광성 ( Choi Gwang-Seong ) - Inha University School of Medicine Department of Dermatology
변지원 ( Byun Ji-Won ) - Inha University School of Medicine Department of Dermatology

Abstract


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.

키워드

Adenocarcinoma; Eccrine glands; Mohs surgery; Shoulder; Sweat gland neoplasms

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