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Talukdar A, Khanna S, Purkayastha J, Das G, Ramchandani S. Axillary Apocrine Adenocarcinoma: a Diagnostic Challenge. Indian J Surg Oncol 2022; 13:356-358. [DOI: 10.1007/s13193-021-01462-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 10/11/2021] [Indexed: 10/20/2022] Open
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Sekine C, Kawase K, Yoshida K. Sentinel lymph node biopsy of primary apocrine sweat gland carcinoma of the axilla: A case report and review of the literature. Int J Surg Case Rep 2020; 77:122-125. [PMID: 33160170 PMCID: PMC7649587 DOI: 10.1016/j.ijscr.2020.10.067] [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: 09/21/2020] [Accepted: 10/17/2020] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Primary apocrine sweat gland carcinoma (PASGC) is a rare subtype of sweat gland carcinoma, mostly occurring in the apocrine-dense regions such as the axilla, areola, and scalp. PRESENTATION OF CASE An 83-year-old woman developed a red elevating mass on her left axilla, without palpable axillary lymph nodes. Excision biopsy revealed that the tumor was PASGC. Additional wide resection and sentinel lymph node biopsy (SLNB) were performed without any adjuvant therapy. One year after the surgical procedure, the patient did not show any evidence of recurrence and axillary surgical complications. DISCUSSION As PASGC arising in the axilla can progress aggressively, differential diagnosis is essential. Previous reports have shown the usefulness of SLNB, but the axillary management for patients with clinically node negative PASGC has not been established because of its rarity. Especially in axillary cases, to identify the true sentinel lymph nodes is sometimes considered inaccurate because the lymphatic flow is complicated in the axilla. CONCLUSION Although SLNB in sweat gland carcinoma has believed safety and been performed, this is the first axillary PASGC case that was performed SLNB. Careful follow-up is needed.
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Affiliation(s)
- Chikako Sekine
- Department of Surgery, The Jikei University School of Medicine Katsushika Medical Center, 6-41-2 Aoto, Katsushika Ward, Tokyo 125-8506, Japan; Department of Breast Surgery, International University of Health and Welfare, Narita Hospital, 852 Hatakeda Narita, Chiba 286-0124, Japan.
| | - Kazumi Kawase
- Department of Surgery, The Jikei University School of Medicine Katsushika Medical Center, 6-41-2 Aoto, Katsushika Ward, Tokyo 125-8506, Japan
| | - Kazuhiko Yoshida
- Department of Surgery, The Jikei University School of Medicine Katsushika Medical Center, 6-41-2 Aoto, Katsushika Ward, Tokyo 125-8506, Japan
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Suárez-Bonnet A, Priestnall SL, Ramírez GA, González-Sánchez C, Jaber JR. Scent (Apocrine) Gland Adenocarcinoma in a Wedge-Capped Capuchin Monkey (Cebus olivaceus): Histological and Immunohistochemical Features. J Comp Pathol 2020; 179:1-6. [PMID: 32958142 DOI: 10.1016/j.jcpa.2020.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 06/11/2020] [Accepted: 07/06/2020] [Indexed: 11/28/2022]
Abstract
In humans, apocrine gland tumours encompass a heterogeneous group of uncommon neoplasms with varied and unpredictable biological behaviour. They can be slow-growing lesions, recur after excision, produce lymph node metastasis in up to 50% of cases or lead to tumour-related death. We document a malignant scent adenocarcinoma in a wedge-capped capuchin monkey (Cebus olivaceus). Immunohistochemical labelling revealed complete absence of myoepithelial cells, a finding usually considered a hallmark of malignancy in humans; however, after a 2-year follow-up, the neoplasm had not recurred. This is the first detailed report of the pathology of a spontaneous scent (apocrine) gland adenocarcinoma in a non-human primate.
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Affiliation(s)
- A Suárez-Bonnet
- Department of Pathobiology and Population Sciences, The Royal Veterinary College, Hertfordshire, UK.
| | - S L Priestnall
- Department of Pathobiology and Population Sciences, The Royal Veterinary College, Hertfordshire, UK
| | - G A Ramírez
- Department of Animal Science, Universitat de Lleida, Lleida, Spain
| | - C González-Sánchez
- Hospital Perpetuo Socorro, Las Palmas de Gran Canaria, Gran Canaria, Spain
| | - J R Jaber
- Morphology Department, Universidad de Las Palmas de Gran Canaria, Gran Canaria, Spain
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Perini EA, Skopchenko M, Hong TT, Harianto R, Maître A, Rodríguez MRR, de Oliveira Santos N, Guo Y, Qin X, Zeituni CA, Starovoitova VN. Pre-feasibility Study for Establishing Radioisotope and Radiopharmaceutical Production Facilities in Developing Countries. Curr Radiopharm 2020; 12:187-200. [PMID: 30924426 DOI: 10.2174/1874471012666190328164253] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2018] [Revised: 03/01/2019] [Accepted: 03/03/2019] [Indexed: 11/22/2022]
Abstract
BACKGROUND A significant number of developing countries have no facilities to produce medical radioisotopes and radiopharmaceuticals. OBJECTIVE In this paper we show that access to life-saving radioisotopes and radiopharmaceuticals and the geographical distribution of corresponding infrastructure is highly unbalanced worldwide. METHODS We discuss the main issues which need to be addressed in order to establish the production of radioisotopes and radiopharmaceuticals, which are especially important for developing countries as newcomers in the field. The data was gathered from several sources, including databases maintained by the International Atomic Energy Agency (IAEA), World Health Organization (WHO), and other international organizations; personal interactions with representatives in the nuclear medicine field from different regions of the world; and relevant literature. RESULTS Developing radioisotope and radiopharmaceutical production program and installing corresponding infrastructure requires significant investments, both man-power and financial. Support already exists to help developing countries establish their medical radioisotope production installations from several organizations, such as IAEA. CONCLUSION This work clearly shows that access to life-saving radioisotopes and the geographical distribution of corresponding infrastructure is highly unbalanced. Technology transfer is important as it not only immediately benefits patients, but also provides employment, economic activity and general prosperity in the region to where the technology transfer is implemented.
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Affiliation(s)
- Efrain Araujo Perini
- Institute of Energy and Nuclear Research (IPEN), Av. Prof. Lineu Prestes 2242, Cidade Universitaria., 05508-000, Sao Paulo, SP, Brazil
| | - Mikhail Skopchenko
- National Nuclear Center, Institute of Radiation Safety and Ecology, 23 Building, 2 Krasnoarmeyskaya Street, 071100, Kurchatov, Kazakhstan
| | - Tran Thu Hong
- Nuclear Research Institute, 01 Nguyen Tu Luc St., Ward 9, Dalat City, Lam Dong, Vietnam
| | - Rahmat Harianto
- Nuclear Energy Regulatory Agency (BAPETEN), North Petojo, Jl. Gajah Mada 8, RT.1/RW.2, Krukut, Tamansari, Daerah Khusus Ibukota 11120, Jakarta, Indonesia
| | - Alexis Maître
- INVAP S.E., Avenida Comandante Luis Piedrabuena 4950, R8403CPV, Bariloche, Argentina
| | | | - Nathalia de Oliveira Santos
- Eckert & Ziegler Brasil Isotope Solution, Rua Miguel Nelsom Bechara, 480, Jardim Pereira Leite, ZIP 02712-130, Sao Paulo - SP, Brazil
| | | | | | - Carlos A Zeituni
- Institute of Energy and Nuclear Research (IPEN), Av. Prof. Lineu Prestes 2242, Cidade Universitaria., 05508-000, Sao Paulo, SP, Brazil
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Gupta A, Gupta M, Mardi K, Gupta J. Primary apocrine carcinoma of an unusual site. BMJ Case Rep 2017; 2017:bcr-2017-222558. [PMID: 29269369 DOI: 10.1136/bcr-2017-222558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Primary apocrine carcinoma is a rare malignancy most commonly occurring in apocrine dense areas like axilla. There are only about 200 cases reported to date. We report a case of primary apocrine carcinoma present at an unusual site, that is, the arm. A wide local excision of the mass was done and was diagnosed as apocrine carcinoma on histopathological examination and was confirmed by immunohistochemistry. Wide local excision is the treatment required.
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Affiliation(s)
- Archit Gupta
- Department of General Surgery, Indira Gandhi Medical College, Shimla, India
| | - Mudita Gupta
- Department of Dermatology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
| | - Kavita Mardi
- Department of Pathology, Indira Gandhi Medical College, Shimla, India
| | - Jagdish Gupta
- Department of General Surgery, Indira Gandhi Medical College, Shimla, India
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[Atypical course of an apocrine sweat gland carcinoma of the axilla : A very rare malignant tumor and its interdisciplinary treatment]. Hautarzt 2017; 68:831-834. [PMID: 28567510 DOI: 10.1007/s00105-017-4002-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
We report on an atypical clinical course of a patient with the very rare diagnosis of an apocrine sweat gland carcinoma with lymphatic metastasis, a single metachronous distant metastasis and a now reached survival time of more than 4 years and give a review about the current literature. Only a very small number of cases have been described. The recommendations for diagnostics and treatment of this tumor, therefore, are not based on prospective randomized studies but upon case reports and on new immunohistochemical and genetic markers.
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Cutaneous Apocrine Carcinoma With an In Situ Component and Histiocytoid and Signet-Ring Cells. Am J Dermatopathol 2017; 39:e76-e78. [DOI: 10.1097/dad.0000000000000810] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Gatti AP, Tonello L, Pfaffenzeller W, Savóia FO, Goergen DI, De Pieri Coan R, Teixeira UF, Waechter FL, Fontes PRO. Apocrine sweat gland adenocarcinoma: A rare case report and review. Int J Surg Case Rep 2017; 36:78-81. [PMID: 28550787 PMCID: PMC5447375 DOI: 10.1016/j.ijscr.2017.04.029] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2017] [Revised: 04/26/2017] [Accepted: 04/30/2017] [Indexed: 11/17/2022] Open
Abstract
Apocrine Sweet Gland Adenocarcinoma is a very uncommon cancer that can cause structural deformities by metabolic disorder (paraneoplastic syndrome). That’s the first case related on Brazil. This case contributes to the best choice of the exams required for detection of this rare cancer (there is no consensus in the literature by the limited number of cases).
Introduction Primary apocrine sweat gland carcinoma (PASGC) is an extremely rare neoplasia whose management and treatment are still evolving. The only curative therapy is wide local excision. Many patients have metastasis at the time of the diagnosis, mainly because this neoplasm has been misdiagnosed as some benign skin lesions. Presentation of case We herein report a case of a 72-year-old-man with PASGC affecting the axilla and regional lymph nodes that underwent surgical resection and lymphadenectomy at our Institution. This is the first case reported in Brazil. Discussion Our observation suggests just a MRI as necessary to study tumoral limits and lymph nodes and a full surgical excision with free margins is decisive for success. Conclusion Despite the PASGC be a rare cancer and require expensive tests, knowledge of this disease is critical to reduce costs in medical services without availability of investment.
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Affiliation(s)
- Arthur Paredes Gatti
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil.
| | - Luiza Tonello
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
| | - William Pfaffenzeller
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
| | - Fernando Oliveira Savóia
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
| | - Diego Inácio Goergen
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
| | - Rodrigo De Pieri Coan
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
| | - Uirá Fernandes Teixeira
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
| | - Fábio Luiz Waechter
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
| | - Paulo Roberto Ott Fontes
- Departament of Surgery, Universidade Federal De Ciências Da Saúde De Porto Alegre (UFCSPA), Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, 90050-170, Brazil
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Zahid R, Soofi ME, Elmalik H, Junejo K. Primary apocrine carcinoma of the axilla in a male patient: a case report. Clin Case Rep 2016; 4:344-7. [PMID: 27099724 PMCID: PMC4831380 DOI: 10.1002/ccr3.515] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2015] [Revised: 01/12/2016] [Accepted: 01/29/2016] [Indexed: 12/02/2022] Open
Abstract
Primary apocrine sweat gland carcinoma is a rare neoplasm. It is usually slow growing and is often suspected to be a benign disease at initial assessment. A thorough clinical and histological workup is required for diagnosis. Treatment of choice is wide local excision with clear margins.
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Affiliation(s)
- Rehan Zahid
- Plastic and Reconstructive Surgery Department Rumailah Hospital Hamad Medical Corporation Doha Qatar; Weill Cornell Medical College in Qatar Doha Qatar
| | - Madiha E Soofi
- Weill Cornell Medical College in Qatar Doha Qatar; Pathology Department Hamad General Hospital Hamad Medical Corporation Doha Qatar
| | - Hind Elmalik
- Weill Cornell Medical College in Qatar Doha Qatar; Medical Oncology National Center for Cancer Care and Research Hamad Medical Corporation Doha Qatar
| | - Kulsoom Junejo
- Weill Cornell Medical College in Qatar Doha Qatar; General Surgery Department Hamad General Hospital Hamad Medical Corporation Doha Qatar
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