Sweat gland carcinoma of the hand (malignant acrospiroma).

A case of malignant acrospiroma of the hand is reported. This rare sweat gland carcinoma recurs locally in 50% of patients, with distant metastases occurring in 60% of patients. The prognosis for 5-year disease-free survival is less than 30%. Although the histopathologic findings of tumor-free margins and negative regional lymph node dissection indicate a good prognosis in most carcinomas, they do not guarantee a good prognosis in malignant acrospiroma because of the aggressive characteristics of this tumor.