Primary adenoid cystic carcinoma of the skin: a case report

A 75-year-old male complained of a demarcated plaque on his left upper arm for 13 years. The patient underwent a surgery 7 years prior to the appearance of the palque. Dermatological examination revealed a dark red elevated plaque of 3.0 cm×3.5 cm×0.5 cm in size on the extensor side of the left uppe...

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Main Authors: Hui LUO, Wei WU, Lingli DENG, Qinglian LU, Yahui JIANG, Herong YANG
Format: Article
Language:zho
Published: editoiral office of Journal of Diagnosis and Therapy on Dermato-venereology 2023-02-01
Series:Pifu-xingbing zhenliaoxue zazhi
Subjects:
Online Access:http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2023.01.013
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author Hui LUO
Wei WU
Lingli DENG
Qinglian LU
Yahui JIANG
Herong YANG
author_facet Hui LUO
Wei WU
Lingli DENG
Qinglian LU
Yahui JIANG
Herong YANG
author_sort Hui LUO
collection DOAJ
description A 75-year-old male complained of a demarcated plaque on his left upper arm for 13 years. The patient underwent a surgery 7 years prior to the appearance of the palque. Dermatological examination revealed a dark red elevated plaque of 3.0 cm×3.5 cm×0.5 cm in size on the extensor side of the left upper arm. The plaque was firm and mild tenderness, with uniform color and poor mobility. Histology showed that the tumor was composed of myoepithelial and glandular epithelial cells arranged in cribriform and glandular pattern, with glandular and pseudoglandular lumens. Some areas appeared differentiation to sebaceous glands, infiltrative growth pattern and nerve invasion. Immunohistochemistry showed that tumor cells were CK-pan (glandular epithelial+), CK5/6(myoepithelial+), CD117(glandular epithelial+), CK7(glandular epithelial+), EMA(glandular epithelial+), P63(myoepithelial+), Ki-67 (15% positive rate within hotspot area). A diagnosis of primary cutaneous adenoid cystic carcinoma was made. Surgical excision was given, and no recurrence was observed during a 6-month follow-up.
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spelling doaj.art-360342d7ff104d52903a6445f56332212023-12-28T06:52:31Zzhoeditoiral office of Journal of Diagnosis and Therapy on Dermato-venereologyPifu-xingbing zhenliaoxue zazhi1674-84682023-02-01301717410.3969/j.issn.1674-8468.2023.01.013Primary adenoid cystic carcinoma of the skin: a case reportHui LUOWei WULingli DENGQinglian LUYahui JIANGHerong YANGA 75-year-old male complained of a demarcated plaque on his left upper arm for 13 years. The patient underwent a surgery 7 years prior to the appearance of the palque. Dermatological examination revealed a dark red elevated plaque of 3.0 cm×3.5 cm×0.5 cm in size on the extensor side of the left upper arm. The plaque was firm and mild tenderness, with uniform color and poor mobility. Histology showed that the tumor was composed of myoepithelial and glandular epithelial cells arranged in cribriform and glandular pattern, with glandular and pseudoglandular lumens. Some areas appeared differentiation to sebaceous glands, infiltrative growth pattern and nerve invasion. Immunohistochemistry showed that tumor cells were CK-pan (glandular epithelial+), CK5/6(myoepithelial+), CD117(glandular epithelial+), CK7(glandular epithelial+), EMA(glandular epithelial+), P63(myoepithelial+), Ki-67 (15% positive rate within hotspot area). A diagnosis of primary cutaneous adenoid cystic carcinoma was made. Surgical excision was given, and no recurrence was observed during a 6-month follow-up.http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2023.01.013primaryskinadenoid cystic carcinoma
spellingShingle Hui LUO
Wei WU
Lingli DENG
Qinglian LU
Yahui JIANG
Herong YANG
Primary adenoid cystic carcinoma of the skin: a case report
Pifu-xingbing zhenliaoxue zazhi
primary
skin
adenoid cystic carcinoma
title Primary adenoid cystic carcinoma of the skin: a case report
title_full Primary adenoid cystic carcinoma of the skin: a case report
title_fullStr Primary adenoid cystic carcinoma of the skin: a case report
title_full_unstemmed Primary adenoid cystic carcinoma of the skin: a case report
title_short Primary adenoid cystic carcinoma of the skin: a case report
title_sort primary adenoid cystic carcinoma of the skin a case report
topic primary
skin
adenoid cystic carcinoma
url http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2023.01.013
work_keys_str_mv AT huiluo primaryadenoidcysticcarcinomaoftheskinacasereport
AT weiwu primaryadenoidcysticcarcinomaoftheskinacasereport
AT linglideng primaryadenoidcysticcarcinomaoftheskinacasereport
AT qinglianlu primaryadenoidcysticcarcinomaoftheskinacasereport
AT yahuijiang primaryadenoidcysticcarcinomaoftheskinacasereport
AT herongyang primaryadenoidcysticcarcinomaoftheskinacasereport