Adenoma aggressive digital papillaryD23.9
DefinitionThis section has been translated automatically.
Semimalignant adnexal tumor with apocrine (eccrine) differentiation, which tends to infiltrate local growth and local recurrence. There is a smooth transition to an aggressive papillary adenocarcinoma of the finger.
ManifestationThis section has been translated automatically.
In adults of all ages; men are more frequently affected than women.
LocalizationThis section has been translated automatically.
Fingers, toes, soles of the feet and palms of the hands.
Clinical featuresThis section has been translated automatically.
Solitary occurring, clinically little distinct, up to 2 cm large, skin-coloured, symptomless lump.
HistologyThis section has been translated automatically.
Non-encapsulated, solid, tubular and papillary complexes with different sized eosinophilic necrosis islets in some tubules. The tumor cells have hyperchromatic nuclei and a relatively narrow cytoplasm. Broad hyalinized connective tissue stroma. Mitotic figures are common.
Complication(s)This section has been translated automatically.
Local aggressive growth with infiltration of underlying bone structures. Haematogenic metastasis has been described in individual cases.
TherapyThis section has been translated automatically.
Complete excision using microscopically controlled surgery is absolutely necessary. Therapy by experienced hand surgeons!
Note(s)This section has been translated automatically.
Clinically and histologically smooth transition to adenocarcinoma!
LiteratureThis section has been translated automatically.
- Digeler A et al (2003) Aggressive digital papillary adenocarcinoma - case report. Handchir Microchir Plast Chir 34: 137-139
- Duke WH et al (2000) Aggressive digital papillary adenocarcinoma (aggressive digital papillary adenoma and adenocarcinoma revisited). On J Surg Path 24: 775-784
- Inaloz HS et al (2003) An aggressive treatment for aggressive digital papillary adenocarcinoma. Cutis 69: 179-182
- Kurtz DH et al (2000) Papillary eccrine adenoma of the heel: a case report. J Foot Ankle Surgery 39: 249-252
- Mandys V et al (1997) Aggressive papillary adenoma of a digit. Cesk Patol 33: 132-136
- Tellechea O et al (1995) Tubular apocrine adenoma with eccrine and apocrine immunophenotypes or papillary tubular adenoma? At J Dermatopathol 17: 499-505