Qi H Z
Hunan Cancer Hospital, Changsha.
Zhonghua Zhong Liu Za Zhi. 1988 Nov;10(6):467-9.
Twenty-two patients with sweat gland carcinoma treated during the past 8 years are reported. They constitute 4.4% of malignant lesions of the skin during the same period. Of these 22 patients, 2 were apocrine gland carcinoma, 15 eccrine carcinoma, 4 hidradenocarcinoma and 1 cylindroma. In 11 patients with distant metastasis, 90.9% had lymphatic metastasis and 36.3% had blood metastasis. Vascular disseminations were mainly to the bone, lung and skin in order of incidence. Sweat gland carcinoma is rare and of low malignancy with evident tendency of recurrence. Prognosis was mainly related to the presence of distant metastasis. It is believed that the enlarged local resection should be given to patients without metastasis. On the other hand, local resection plus regional dissection should be performed on patients with metastasis. Post-operative irradiation may be helpful to prevent distant metastasis.
报告了过去8年中接受治疗的22例汗腺癌患者。他们占同期皮肤恶性病变的4.4%。在这22例患者中，2例为大汗腺癌，15例为小汗腺癌，4例为汗腺癌，1例为圆柱瘤。在11例有远处转移的患者中，90.9%有淋巴转移，36.3%有血行转移。血行播散主要依次转移至骨、肺和皮肤。汗腺癌罕见，恶性程度低，有明显的复发倾向。预后主要与远处转移的存在有关。认为对无转移的患者应行扩大局部切除术。另一方面，对有转移的患者应行局部切除加区域淋巴结清扫术。术后放疗可能有助于预防远处转移。
