Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literature

Primary cutaneous apocrine carcinoma (PCAC) is an extremely rare malignancy. Distinguishing apocrine carcinoma from breast carcinoma metastasis is difficult. Only a few cases reported as PCAC of the scalp and primarily treated by wide local excision. The usual presentation is a skin lesion that rapi...

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Main Authors: Hadi Al-Hakami, Baraa I Awad, Mohammed Al-Garni, Haneen A Al-Maghrabi, Noura Al-Shareef
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=11;spage=3758;epage=3762;aulast=Al-Hakami
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author Hadi Al-Hakami
Baraa I Awad
Mohammed Al-Garni
Haneen A Al-Maghrabi
Noura Al-Shareef
author_facet Hadi Al-Hakami
Baraa I Awad
Mohammed Al-Garni
Haneen A Al-Maghrabi
Noura Al-Shareef
author_sort Hadi Al-Hakami
collection DOAJ
description Primary cutaneous apocrine carcinoma (PCAC) is an extremely rare malignancy. Distinguishing apocrine carcinoma from breast carcinoma metastasis is difficult. Only a few cases reported as PCAC of the scalp and primarily treated by wide local excision. The usual presentation is a skin lesion that rapidly progresses over the duration of a few weeks to few months. We reported a 56-year-old man with a right scalp ulcerative lesion diagnosed as a CAC. The patient underwent wide local excision. 1.5 years later, the patient developed neck lymph node metastasis that treated with neck dissection and adjuvant radiotherapy. No chemotherapy was given due to limited literature, suggesting substantial benefits of adjuvant chemotherapy for such cases. Review literature was performed to assess the clinical presentation, treatment, and prognosis of such malignancies. PCAC of the scalp is a challenging malignancy in the diagnosis and management.
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spelling doaj.art-955c8ac70f2c4b6d862e2071547f3c6c2022-12-22T01:17:03ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632019-01-018113758376210.4103/jfmpc.jfmpc_833_19Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literatureHadi Al-HakamiBaraa I AwadMohammed Al-GarniHaneen A Al-MaghrabiNoura Al-ShareefPrimary cutaneous apocrine carcinoma (PCAC) is an extremely rare malignancy. Distinguishing apocrine carcinoma from breast carcinoma metastasis is difficult. Only a few cases reported as PCAC of the scalp and primarily treated by wide local excision. The usual presentation is a skin lesion that rapidly progresses over the duration of a few weeks to few months. We reported a 56-year-old man with a right scalp ulcerative lesion diagnosed as a CAC. The patient underwent wide local excision. 1.5 years later, the patient developed neck lymph node metastasis that treated with neck dissection and adjuvant radiotherapy. No chemotherapy was given due to limited literature, suggesting substantial benefits of adjuvant chemotherapy for such cases. Review literature was performed to assess the clinical presentation, treatment, and prognosis of such malignancies. PCAC of the scalp is a challenging malignancy in the diagnosis and management.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=11;spage=3758;epage=3762;aulast=Al-Hakamiapocrine carcinomascalpsweat glandtreatment
spellingShingle Hadi Al-Hakami
Baraa I Awad
Mohammed Al-Garni
Haneen A Al-Maghrabi
Noura Al-Shareef
Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literature
Journal of Family Medicine and Primary Care
apocrine carcinoma
scalp
sweat gland
treatment
title Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literature
title_full Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literature
title_fullStr Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literature
title_full_unstemmed Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literature
title_short Apocrine carcinoma of the scalp with neck lymph node metastasis: A case report and review of the literature
title_sort apocrine carcinoma of the scalp with neck lymph node metastasis a case report and review of the literature
topic apocrine carcinoma
scalp
sweat gland
treatment
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2019;volume=8;issue=11;spage=3758;epage=3762;aulast=Al-Hakami
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AT baraaiawad apocrinecarcinomaofthescalpwithnecklymphnodemetastasisacasereportandreviewoftheliterature
AT mohammedalgarni apocrinecarcinomaofthescalpwithnecklymphnodemetastasisacasereportandreviewoftheliterature
AT haneenaalmaghrabi apocrinecarcinomaofthescalpwithnecklymphnodemetastasisacasereportandreviewoftheliterature
AT nouraalshareef apocrinecarcinomaofthescalpwithnecklymphnodemetastasisacasereportandreviewoftheliterature