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What do you think of an unusual axillary mass?

Abstract Skin apocrine carcinoma is a rare malgnancy of epidermal adnexa, most frequent in axillary seat, where apocrine sweat gland are abundant, the neoplasm can arise in groin, anogenital, lips, eyelid, characterized by a plate or surface area of nodules hummocky. Etiology and incidence are not known. The prognosis is influenced by the risk of locoregional recurrence and metastatic evolution. We describe the case of 61-year-old man who presented a left axillary slow-growing mass since 2 years ago. The cutaneous biopsy objectified an apocrine adenocarcinoma. The paraclinic exams performed to detect primary breast were tumor negative, first step before confirming the diagnosis. Standard treatment is surgical excision with margins of 2 to 3cm for local tumor, for apocrine adenocarcinoma regional lymph node dissection if nodes were clinically positive is wide surgical excision. This kind of tumour is chemoresistant. In this case, adjuvant chemotherapy was indicated, before surgery to reduce tumoral volume. This case illustrates the importance clinicopathological correlation of skin cancer, particularly apocrine one. Clinical particularity and careful analyses histology helps diagnosis approach.
PMID
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Authors

Mayor MeshTerms
Keywords

Axillary mass

apocrine adenocarcinoma

skin

Journal Title the pan african medical journal
Publication Year Start




PMID- 29721139
OWN - NLM
STAT- MEDLINE
DCOM- 20180510
LR  - 20180510
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - What do you think of an unusual axillary mass?
PG  - 309
LID - 10.11604/pamj.2017.28.309.3092 [doi]
AB  - Skin apocrine carcinoma is a rare malgnancy of epidermal adnexa, most frequent in
      axillary seat, where apocrine sweat gland are abundant, the neoplasm can arise in
      groin, anogenital, lips, eyelid, characterized by a plate or surface area of
      nodules hummocky. Etiology and incidence are not known. The prognosis is
      influenced by the risk of locoregional recurrence and metastatic evolution. We
      describe the case of 61-year-old man who presented a left axillary slow-growing
      mass since 2 years ago. The cutaneous biopsy objectified an apocrine
      adenocarcinoma. The paraclinic exams performed to detect primary breast were
      tumor negative, first step before confirming the diagnosis. Standard treatment is
      surgical excision with margins of 2 to 3cm for local tumor, for apocrine
      adenocarcinoma regional lymph node dissection if nodes were clinically positive
      is wide surgical excision. This kind of tumour is chemoresistant. In this case,
      adjuvant chemotherapy was indicated, before surgery to reduce tumoral volume.
      This case illustrates the importance clinicopathological correlation of skin
      cancer, particularly apocrine one. Clinical particularity and careful analyses
      histology helps diagnosis approach.
FAU - Benzzi, Hafsa
AU  - Benzzi H
AD  - Dermatology Department, Mohamed V University, Rabat, Morocco.
FAU - Askour, Majda
AU  - Askour M
AD  - Dermatology Department, Mohamed V University, Rabat, Morocco.
FAU - Elouazani, Afaf
AU  - Elouazani A
AD  - Dermatology Department, Mohamed V University, Rabat, Morocco.
FAU - Bouaddi, Mouna
AU  - Bouaddi M
AD  - Dermatology Department, Mohamed V University, Rabat, Morocco.
FAU - Hassam, Badreddine
AU  - Hassam B
AD  - Dermatology Department, Mohamed V University, Rabat, Morocco.
FAU - Saidi, Amar
AU  - Saidi A
AD  - Pathology Center United Nations, Rabat, Morocco.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20171213
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
SB  - IM
MH  - Adenocarcinoma/*diagnosis/pathology/therapy
MH  - Apocrine Glands/*pathology
MH  - Axilla/pathology
MH  - Biopsy
MH  - Chemotherapy, Adjuvant/methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Skin Neoplasms/*diagnosis/pathology/therapy
MH  - Sweat Gland Neoplasms/*diagnosis/pathology/therapy
PMC - PMC5927561
OTO - NOTNLM
OT  - Axillary mass
OT  - apocrine adenocarcinoma
OT  - skin
EDAT- 2018/05/04 06:00
MHDA- 2018/05/11 06:00
CRDT- 2018/05/04 06:00
PHST- 2013/07/11 00:00 [received]
PHST- 2013/10/02 00:00 [accepted]
PHST- 2018/05/04 06:00 [entrez]
PHST- 2018/05/04 06:00 [pubmed]
PHST- 2018/05/11 06:00 [medline]
AID - 10.11604/pamj.2017.28.309.3092 [doi]
AID - PAMJ-28-309 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Dec 13;28:309. doi: 10.11604/pamj.2017.28.309.3092.
      eCollection 2017.