Pate Haley F, Fulton David B
Virginia Tech Carilion Dermatology, Roanoke, VA.
Prisma Health Orthopedics, Columbia, SC.
J Hand Surg Glob Online. 2024 Sep 28;6(6):934-936. doi: 10.1016/j.jhsg.2024.09.002. eCollection 2024 Nov.
Digital papillary adenocarcinoma is a rare cutaneous tumor of eccrine origin that often presents as a papule or nodule on the dorsal aspect of a finger. It is challenging to diagnose because of its rarity, its benign appearance, and the lack of specific clinical or histological features. Excision is recommended, given the malignant nature and variable recurrence rates with metastases well documented in the literature. We present a case of a 49-year-old man with a digital papillary adenocarcinoma on his right middle finger. We discuss this patient's treatment course and the lack of standardized treatment guidelines. Further research is needed to establish evidence-based management strategies for digital papillary adenocarcinoma.
指状乳头状腺癌是一种罕见的起源于小汗腺的皮肤肿瘤,常表现为手指背侧的丘疹或结节。由于其罕见性、良性外观以及缺乏特异性临床或组织学特征,诊断具有挑战性。鉴于其恶性本质以及文献中充分记载的转移和不同的复发率,建议进行切除。我们报告一例49岁男性右手中指患有指状乳头状腺癌的病例。我们讨论了该患者的治疗过程以及缺乏标准化治疗指南的情况。需要进一步研究以建立基于证据的指状乳头状腺癌管理策略。