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原发性皮肤黏液腺癌:文献回顾。

Primary Cutaneous Mucinous Carcinoma: A Review of the Literature.

机构信息

Washington University School of Medicine, St. Louis, Missouri.

Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.

出版信息

Dermatol Surg. 2023 Dec 1;49(12):1091-1095. doi: 10.1097/DSS.0000000000003921. Epub 2023 Aug 29.

DOI:10.1097/DSS.0000000000003921
PMID:37643246
Abstract

BACKGROUND

Primary cutaneous mucinous carcinoma (PCMC) is an exceedingly rare, low-grade tumor that histologically resembles mucinous carcinoma from other primary sites, such as the breast, gastrointestinal tract, and lungs.

OBJECTIVE

The purpose of this article was to review the current literature on PCMC as it relates to epidemiology, clinical presentation, histopathology, immunohistochemistry, treatment, and prognosis.

MATERIALS AND METHODS

An extensive literature review was conducted using PubMed and Ovid MEDLINE to identify articles related to PCMC.

RESULTS

Several hundred cases have been reported in the medical literature, and surgical resection, whenever feasible, is the standard of care.

CONCLUSION

The diagnosis of primary cutaneous mucinous carcinoma is one of exclusion, requiring a metastatic work-up to rule out distant primary. Mohs micrographic surgery is a tissue sparing technique that allows complete margin control of these rare neoplasia.

摘要

背景

原发性皮肤黏液腺癌(PCMC)是一种极其罕见的低度恶性肿瘤,组织学上类似于来自其他原发性部位的黏液腺癌,如乳腺、胃肠道和肺部。

目的

本文旨在回顾与 PCMC 相关的流行病学、临床表现、组织病理学、免疫组织化学、治疗和预后的现有文献。

材料和方法

使用 PubMed 和 Ovid MEDLINE 进行广泛的文献回顾,以确定与 PCMC 相关的文章。

结果

在医学文献中已经报道了数百例病例,只要可行,手术切除就是标准的治疗方法。

结论

原发性皮肤黏液腺癌的诊断是一种排除性诊断,需要进行转移灶检查以排除远处原发性肿瘤。Mohs 显微外科手术是一种保留组织的技术,可实现对这些罕见肿瘤的完全边缘控制。

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引用本文的文献

1
Primary Cutaneous Mucinous Carcinoma of the Left Zygomatic Region: A Case Report.左侧颧部原发性皮肤黏液癌:病例报告
Clin Cosmet Investig Dermatol. 2024 Dec 11;17:2847-2853. doi: 10.2147/CCID.S485926. eCollection 2024.
2
Case report: Metastatic endocrine mucin-producing sweat gland carcinoma with features of mucinous carcinoma.病例报告:具有黏液腺癌特征的转移性内分泌黏液分泌性汗腺癌。
Front Oncol. 2024 Nov 18;14:1449270. doi: 10.3389/fonc.2024.1449270. eCollection 2024.