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An aggressive treatment for aggressive digital papillary adenocarcinoma.
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2002
Year
Surgical OncologyCancer ManagementPathologyDermatologyPapillary AdenocarcinomaOncologySurgical PathologyRadiation OncologyDigit AmputationCancer ResearchSkin CancerHistopathologyEndocrine SurgeryLeft Middle FingerMalignant DiseaseTumoral PathologyAggressive TreatmentBreast CancerMedicine
Aggressive digital papillary adenoma (ADPA) and adenocarcinoma (ADPAca) are adnexal tumors that are not often recognized because of their rarity. We present a rare case of ADPAca involving the left middle finger of a 43-year-old man. Histopathological features of ADPAca are distinct from those of other eccrine sweat gland tumors; however, ADPAca may be misdiagnosed particularly for a metastasis of papillary adenocarcinoma originating in the colon, thyroid, or breast. Clinicopathological correlation is essential to ule out a possible risk of metastatic carcinoma of the skin. Recognition of these tumors is important because of a potential risk of local recurrence nd distant metastases. Aggressive surgical treatment consisting of digit amputation is advocated in the treatment of ADPAca.