Primary Cutaneous Mucinous Carcinoma Treated with Narrow Surgical Margin.
10.7181/acfs.2016.17.3.158
- Author:
Jin Hee CHOI
1
;
Seung Chan KIM
;
Jiye KIM
;
Yoon Kyu CHUNG
Author Information
1. Department of Plastic and Reconstructive Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea. ykchung@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Adenocarcinoma;
Mucinous adenocarcinoma;
Primary mucinous carcinoma
- MeSH:
Adenocarcinoma;
Adenocarcinoma, Mucinous*;
Cheek;
Diagnosis;
Humans;
Middle Aged;
Mucins*;
Neoplasm Metastasis;
Recurrence;
Wounds and Injuries
- From:Archives of Craniofacial Surgery
2016;17(3):158-161
- CountryRepublic of Korea
- Language:English
-
Abstract:
Primary cutaneous mucinous carcinoma (PCMC) is a rare malignant tumor of eccrine origin. Clinically, the carcinoma presents as a solitary, slow growing, and painless nodule. For this reason, this tumor is often considered to be a benign mass in the preoperative setting. The lesion is, however, malignant in nature and has a tendency for local recurrence and infrequent metastasis. Wide local excision is the treatment of choice. However, few reports exist with information regarding surgical margins and clinical outcomes. Herein, we report a case of PCMC excised with a narrow surgical margin and review the relevant literature. A 49-year-old man presented with a small cutaneous nodule of the right cheek. The mass was excised without any margin, but pathologic examination revealed histology of mucinous carcinoma. Because of this, the operative site was re-excised with a 5-mm margin, and the wound was closed using a V-Y advancement flap. Systemic work-up did not reveal other potential metastatic primary, for a final diagnosis of PCMC. We report this case of PCMC, treated with relatively narrow margin in a patient with good prognostic factors.
