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Algarin YA, Roberts AA, Chu TW. Painless cheek nodule. JAAD Case Rep 2024; 45:53-55. [PMID: 38379877 PMCID: PMC10876484 DOI: 10.1016/j.jdcr.2024.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024] Open
Affiliation(s)
- Yanci A. Algarin
- Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia
- Department of Dermatology and Cutaneous Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Florida
| | - Alice A. Roberts
- Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia
| | - Thomas W. Chu
- Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia
- Department of Dermatology, Far Eastern Memorial Hospital, New Taipei, Taiwan
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2
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Tinguria M. Primary Mucinous Carcinoma of Skin: A Rare Cutaneous Neoplasm. Clinicopathologic Features, Differential Diagnoses, and Review of Literature. Am J Dermatopathol 2024; 46:114-120. [PMID: 38055969 DOI: 10.1097/dad.0000000000002591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]
Abstract
ABSTRACT Primary mucinous carcinoma of the skin (PMCS) is a rare malignant neoplasm of sweat gland origin, with an incidence of 0.07 per million. Histologically, it may be difficult to differentiate it from metastatic mucinous carcinomas of the skin. A case of PMCS is reported here in a 59-year-old woman who presented with a lesion on the right lower eyelid. Histological examination revealed features of mucinous adenocarcinoma. The main differential diagnosis was metastatic mucinous adenocarcinoma; however, the lack of colorectal and lung markers and the presence of focal in situ components were consistent with the diagnosis of PMCS. PMCS and breast mucinous carcinoma share immunohistochemical markers, such as GCDFP-15 and mammaglobin; however, focal in situ component with the presence of myoepithelial cells in the tumor ruled out metastatic mucinous carcinoma of breast origin. The subsequent mammograms did not reveal any breast lesions. Colonoscopy did not show any evidence of colonic malignancy, and imaging studies (CT scan) did not show any evidence of neoplasm in the body. These findings were in keeping with a diagnosis of PMCS. The present case emphasizes the importance of clinicopathological correlation, histopathology, and immunohistochemistry in the accurate diagnosis of PMCS and summarizes the literature on these rare cutaneous neoplasms.
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Affiliation(s)
- Mukund Tinguria
- Department of Pathology and Laboratory Medicine, Brantford General Hospital, Brantford, Ontario, Canada
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3
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Freeman T, Russell AJ, Council ML. Primary Cutaneous Mucinous Carcinoma: A Review of the Literature. Dermatol Surg 2023; 49:1091-1095. [PMID: 37643246 DOI: 10.1097/dss.0000000000003921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
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.
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Affiliation(s)
- Timothy Freeman
- Washington University School of Medicine, St. Louis, Missouri
| | - Aaron J Russell
- Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri
- Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, Missouri
| | - M Laurin Council
- Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri
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4
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Saleem R, Vaidya S. A Case of Eccrine Mucinous Carcinoma Involving Scalp. Cureus 2021; 13:e16469. [PMID: 34430089 PMCID: PMC8372668 DOI: 10.7759/cureus.16469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/18/2021] [Indexed: 11/21/2022] Open
Abstract
The report presents a case of a 67-year-old female with a long-standing lump on the scalp. After its excision the histopathology revealed consistency with eccrine mucinous carcinoma. These neoplasms are quite rare with only around 100 cases reported since 1951. The report concludes the importance of encouraging follow-up of cutaneous lesions among patients as well as ongoing research to better identify and manage the tumor.
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Affiliation(s)
- Ramsha Saleem
- Dermatology, The Queen Elizabeth Hospital, Adelaide, AUS
| | - Sachin Vaidya
- Dermatology, The Queen Elizabeth Hospital, Adelaide, AUS
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5
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Primary mucinous carcinoma of the skin arising from the upper eyelid: A case report and literature review. JPRAS Open 2020; 25:18-23. [PMID: 32514425 PMCID: PMC7266996 DOI: 10.1016/j.jpra.2020.04.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 04/08/2020] [Indexed: 11/23/2022] Open
Abstract
Primary mucinous carcinoma of the skin (PMCS) is a rare malignant neoplasm of the sweat glands that has an incidence of 1 per 150,000 population. Because of the lack of typical characteristics, it is often misdiagnosed as an epidermoid cyst, pilomatrixoma, or chalazion before resection, with subsequent enucleation performed unintentionally. We present a case of a 51-year-old patient with PMCS in the upper eyelid that was successfully treated at our hospital. Additionally, we reviewed the literature and discussed the diagnosis, primary and adjuvant therapy, and follow-up procedure.
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Abiola OO, Ano-Edward GH, Oluwumi OA, Lasisi ME. Primary cutaneous mucinous carcinoma of the scrotum: A rare tumor at a rare site - A case report and review of literature. Urol Ann 2019; 12:83-86. [PMID: 32015625 PMCID: PMC6978957 DOI: 10.4103/ua.ua_126_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Accepted: 09/18/2019] [Indexed: 11/05/2022] Open
Abstract
Primary cutaneous mucinous carcinoma (PCMC) is a rare malignant adnexal tumor of eccrine origin with a higher incidence in the head and neck region of the body while scrotal skin involvement is rare. We report a case of a 72-year-old man with ulceration of painless scrotal lesions of 10 years' duration. Histology of the wedge biopsies of the lesions was mucinous carcinoma. Clinical workup excluded noncutaneous primary sites of mucinous carcinoma and distant metastasis. He had wide excision of the scrotal skin lesions with histological findings of nests of malignant cells separated from pool of mucin by fibrocollagenous septae. Periodic acid–Schiff stain was positive; however, immunohistochemical stains for estrogen and progesterone receptors were negative. No local recurrence was observed after 12 months of follow-up. Scrotal PCMC is a rare tumor; this may probably be the first reported case of this tumor in the scrotum. Prognosis was good following surgical excision.
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Affiliation(s)
- Olajide Olusegun Abiola
- Department of Surgery, Urology Unit, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
| | - Gbemi H Ano-Edward
- Department of Anatomic Pathology, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
| | - Olutunde A Oluwumi
- Department of Anatomic Pathology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria
| | - Mathew E Lasisi
- Department of Anatomic Pathology, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
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7
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Zhang Z, Yu H, Yao Z. Painful Indurated Plaques on the Vulva. JAMA Dermatol 2019; 155:1073-1074. [PMID: 31314047 DOI: 10.1001/jamadermatol.2019.1979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Zhen Zhang
- Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Hong Yu
- Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Zhirong Yao
- Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
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8
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Multicentric Mucinous Adenocarcinoma in the Periorbital Region. Ophthalmic Plast Reconstr Surg 2018; 34:e204-e206. [DOI: 10.1097/iop.0000000000001248] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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9
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Miyachi H, Hashimoto H, Suehiro K, Yamamoto Y, Ota S, Nakatani Y, Matsue H. Aromatase inhibitor for the treatment of primary mucinous carcinoma of the skin with distant metastasis. JAAD Case Rep 2018; 4:235-238. [PMID: 29687058 PMCID: PMC5909486 DOI: 10.1016/j.jdcr.2017.10.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Affiliation(s)
- Hideaki Miyachi
- Department of Dermatology, Graduate School of Medicine, Chiba University, Chiba, Japan
- Correspondence to: Hideaki Miyachi, MD, PhD, Department of Dermatology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi 260-8670 Japan.
| | - Hiroyo Hashimoto
- Department of Dermatology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Keisuke Suehiro
- Department of Dermatology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Yosuke Yamamoto
- Department of Dermatology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Satoshi Ota
- Department of Pathology, Chiba University Hospital, Chiba, Japan
| | - Yukio Nakatani
- Department of Pathology, Chiba University Hospital, Chiba, Japan
- Department of Diagnostic Pathology, Graduate School of Medicine, Chiba University, Chiba, Japan
| | - Hiroyuki Matsue
- Department of Dermatology, Graduate School of Medicine, Chiba University, Chiba, Japan
- Medical Mycology Research Center, Chiba University, Chiba, Japan
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10
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Park JM, Kim SS. A Case of Primary Mucinous Adenocarcinoma of the Lower Eyelid. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2018. [DOI: 10.3341/jkos.2018.59.2.176] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Jun Min Park
- Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea
| | - Sang Soo Kim
- Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea
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Abstract
The aim of this study is to report a case of bilateral primary mucinous carcinoma of the eyelids. This is a case report and literature review. A 71-year-old female presented with primary mucinous carcinoma of the left upper eyelid, which was excised with Mohs surgery. One year later, she developed primary mucinous carcinoma of the right upper eyelid, which was also treated Mohs surgery. Extensive workup was negative for evidence of an unknown primary carcinoma or metastasis. Primary mucinous carcinoma of the eyelids may occur as multifocal tumors, and bilateral disease is not necessarily indicative of metastatic disease.
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12
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Souaf I, Ameurtesse H, Debbagh FZ, Idrissi K, Znati K, Amarti A. [Mucinous primitive skin carcinoma: report of two cases and review of the literature]. Pan Afr Med J 2015; 18:340. [PMID: 25574316 PMCID: PMC4282812 DOI: 10.11604/pamj.2014.18.340.2970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2013] [Accepted: 08/26/2014] [Indexed: 11/11/2022] Open
Abstract
Le carcinome mucineux primitif cutané est une tumeur annexielle rare, développée à partir des glandes sudoripares. Il se localise en générale à l'extrémité céphalique, surtout la région périorbitaire. Nous rapportons deux observations d'un carcinome mucineux primitif de la face et de la région axillaire, chez deux patients âgés de 60 ans. L’étude histologique montrait une prolifération tumorale dermohypodermique, faite de cellules organisées en cordons, en amas et en massif cribriformes, au sein d'une substance mucoïde. En immunohistochimie les cellules tumorales exprimaient la cytokératine 7, l'EMA et les récepteurs hormonaux. L'actine musculaire lisse a bien marqué les cellules myoépithéliales au niveau de la composante in situ dans un seul cas. Le carcinome mucineux primitif cutané est difficile à différencier d'une métastase mammaire ou digestive. La mise en évidence de carcinome in situ ou de cellules myoépithéliale est en faveur de l'origine cutanée primitive. C'est une tumeur à croissance lente, avec des métastases exceptionnelles. Le traitement est chirurgical et le taux de récidive est très élevé. Et à travers ces deux observations, les auteurs mettent en relief les principaux aspects cliniques, histologiques, thérapeutiques de cette entité avec une revue de la littérature.
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Affiliation(s)
- Ihsane Souaf
- Service d'Anatomie et de Cytologie Pathologique, CHU Hassan II, Fès, Maroc
| | | | | | - Karima Idrissi
- Service d'Anatomie et de Cytologie Pathologique, CHU Hassan II, Fès, Maroc
| | - Kawter Znati
- Service d'Anatomie et de Cytologie Pathologique, CHU Hassan II, Fès, Maroc ; Laboratoire de Recherche et Biologie de cancer, CHU Hassan II, Fès, Maroc
| | - Affaf Amarti
- Service d'Anatomie et de Cytologie Pathologique, CHU Hassan II, Fès, Maroc ; Laboratoire de Recherche et Biologie de cancer, CHU Hassan II, Fès, Maroc
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13
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Homma E, Hata H, Tsujiwaki M, Aoyagi S, Shimizu H. Nanoparticle albumin-bound paclitaxel can be useful agent to advanced primary mucinous carcinoma of the skin. J Eur Acad Dermatol Venereol 2014; 29:2271-3. [PMID: 24910079 DOI: 10.1111/jdv.12574] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- E Homma
- Department of Dermatology, Hokkaido University, Graduate School of Medicine, Sapporo, Japan
| | - H Hata
- Department of Dermatology, Hokkaido University, Graduate School of Medicine, Sapporo, Japan
| | - M Tsujiwaki
- Department of Dermatology, Hokkaido University, Graduate School of Medicine, Sapporo, Japan
| | - S Aoyagi
- Department of Dermatology, Hokkaido University, Graduate School of Medicine, Sapporo, Japan
| | - H Shimizu
- Department of Dermatology, Hokkaido University, Graduate School of Medicine, Sapporo, Japan
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14
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Miquelestorena-Standley E, Dujardin F, Arbion F, Touzé A, Machet L, Velut S, Guyétant S. Recurrent primary cutaneous mucinous carcinoma with neuroendocrine differentiation: case report and review of the literature. J Cutan Pathol 2014; 41:686-91. [DOI: 10.1111/cup.12347] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2013] [Revised: 02/05/2014] [Accepted: 03/16/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Elodie Miquelestorena-Standley
- CHRU de Tours; Laboratoire d'anatomie et cytologie pathologiques; Tours France
- Université François-Rabelais de Tours; PRES Centre-Val de Loire Université; Tours France
| | - Fanny Dujardin
- CHRU de Tours; Laboratoire d'anatomie et cytologie pathologiques; Tours France
| | - Flavie Arbion
- CHRU de Tours; Laboratoire d'anatomie et cytologie pathologiques; Tours France
| | - Antoine Touzé
- INRA; UR 1282, Infectiologie animale et Santé Publique; Nouzilly France
| | - Laurent Machet
- Université François-Rabelais de Tours; PRES Centre-Val de Loire Université; Tours France
- CHRU de Tours; Service de dermatologie; Tours France
| | - Stéphane Velut
- Université François-Rabelais de Tours; PRES Centre-Val de Loire Université; Tours France
- CHRU de Tours; Service de neurochirurgie; Tours France
| | - Serge Guyétant
- CHRU de Tours; Laboratoire d'anatomie et cytologie pathologiques; Tours France
- Université François-Rabelais de Tours; PRES Centre-Val de Loire Université; Tours France
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15
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Burris CK, Rajan KDA, Iliff NT. Primary mucinous carcinoma of the periocular region: successful management with local resections over 30 years. BMJ Case Rep 2013; 2013:bcr2012007972. [PMID: 23417934 PMCID: PMC3603836 DOI: 10.1136/bcr-2012-007972] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Primary mucinous carcinoma of the skin is a rare malignant neoplasm, often with periocular involvement, believed to originate from eccrine sweat glands. It is slow growing and locally destructive, at times forming tumour satellites. We present a case with six local recurrences treated with surgical resections over a period of 30 years. We have not been able to find longer follow-up in the literature, and believe this case may offer insight into the management of these uniquely indolent malignancies.
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