Wilson K M, Jubert A V, Joseph J I
Department of Surgery, Michigan State University, Grand Rapids.
J Hand Surg Am. 1989 May;14(3):531-5. doi: 10.1016/s0363-5023(89)80018-8.
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.
本文报告了一例手部恶性顶泌汗腺腺瘤。这种罕见的汗腺癌在50%的患者中会局部复发，60%的患者会发生远处转移。5年无病生存率低于30%。尽管在大多数癌症中，无瘤切缘和阴性区域淋巴结清扫的组织病理学结果表明预后良好，但由于这种肿瘤具有侵袭性，在恶性顶泌汗腺腺瘤中并不能保证良好的预后。
