Seyhan Tamer, Borman Hüseyin, Bal Nebil
Department of Plastic and Reconstructive Surgery, Medical Faculty, Baskent University, Adana, Turkey.
J Craniofac Surg. 2008 Nov;19(6):1608-12. doi: 10.1097/SCS.0b013e31818b4143.
Malignant eccrine spiradenoma is a rare neoplasm generally arising from long-standing benign eccrine spiradenomas; it is rarely seen on the scalp. A 27-year-old woman with a malignant eccrine spiradenoma of the scalp, which had occurred 8 months after the inadequate excision of a benign eccrine spiradenoma, was treated at our hospital. The patient underwent lymphoscintigraphy. A biopsy of the sentinel lymph nodes in the right periparotid and left occipital regions was performed, and the nodes showed no metastases. The tumor with its large subcutaneous extension and the outer table of the cranium were removed. A split-thickness skin graft was applied on the exposed inner table. At 24 months' follow-up, there has been no tumor recurrence. We report a case of a malignant eccrine spiradenoma of the scalp with cranial involvement that arose from an inadequately removed, long-standing, benign eccrine spiradenoma in a young patient. Also, we review the existing literature on malignant eccrine spiradenoma of the scalp.
恶性小汗腺螺旋腺瘤是一种罕见的肿瘤，通常由长期存在的良性小汗腺螺旋腺瘤发展而来；头皮部位罕见。我院收治了一名27岁女性患者，其头皮恶性小汗腺螺旋腺瘤在良性小汗腺螺旋腺瘤切除不彻底8个月后发生。患者接受了淋巴闪烁显像检查。对右侧腮腺周围和左侧枕部区域的前哨淋巴结进行了活检，结果显示无转移。切除了具有广泛皮下延伸的肿瘤及颅骨外板。在暴露的颅骨内板上进行了断层皮片移植。随访24个月时，未见肿瘤复发。我们报告了一例年轻患者头皮恶性小汗腺螺旋腺瘤累及颅骨的病例，该肿瘤由切除不彻底、长期存在的良性小汗腺螺旋腺瘤发展而来。此外，我们还回顾了现有的关于头皮恶性小汗腺螺旋腺瘤的文献。
