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Torre-Castro J, Ríos-Viñuela E, Balaguer-Franch I, Díaz de Lezcano I, Aguado-García Á, Nájera L, Suárez D, Requena L. Perineural Infiltration: A Comprehensive Review of Diagnostic, Prognostic, and Therapeutic Implications. Am J Dermatopathol 2024; 46:271-286. [PMID: 38457673 DOI: 10.1097/dad.0000000000002667] [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: 03/10/2024]
Abstract
ABSTRACT Perineural infiltration refers to a neoplastic cell involvement in, around, and through the nerves. It is considered as one of the neoplastic dissemination pathways. Thus, its identification is crucial to establish the prognosis of some malignant skin neoplasms, such as squamous cell carcinoma, and explains the locally aggressive behavior of cutaneous neoplasms, such as microcystic adnexal carcinoma. We have conducted a review of malignant and benign skin tumors in which perineural infiltration has been described, and we also discuss some histopathological findings that may simulate perineural infiltration.
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Affiliation(s)
- Juan Torre-Castro
- Department of Dermatology, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain
| | - Elisa Ríos-Viñuela
- Department of Dermatology, Instituto Valenciano de Oncología, Escuela de Doctorado Universidad Católica de Valencia, Valencia, Spain
| | | | | | | | - Laura Nájera
- Department of Pathology, Puerta de Hierro University Hospital, Universidad Autónoma, Majadahonda, Madrid, Spain
| | - Dolores Suárez
- Department of Pathology, Puerta de Hierro University Hospital, Universidad Autónoma, Majadahonda, Madrid, Spain
| | - Luis Requena
- Department of Dermatology, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain
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Chivinski J, Watters K, Mereniuk A. Rare case of primary cutaneous adenoid cystic carcinoma of the abdomen: A case report. SAGE Open Med Case Rep 2022; 10:2050313X221086320. [PMID: 35371491 PMCID: PMC8972917 DOI: 10.1177/2050313x221086320] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Adenoid cystic carcinoma is predominantly a tumor of the parotid glands and can sometimes be found in other glands. In most cases, skin location is usually a metastatic presentation and rarely a primary tumor. We describe the case of a 59-year-old female patient presenting with a 5-mm skin-colored nodule on the abdomen histologically compatible with a primary cutaneous adenoid cystic carcinoma. Extensive workup revealed no other primary source, nor evidence of metastatic disease; therefore, wide local excision was the preferred treatment given the low potential of recurrence. As this adnexal carcinoma is rare and its morphology non-specific clinically, we wanted to raise awareness of this entity and its management.
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Affiliation(s)
- Jeffrey Chivinski
- Department of Medicine, Division of Dermatology, Université de Montréal, Montreal, QC, Canada
- Department of Medicine, Division of Dermatology, Hôpital du Sacré-Coeur de Montréal, Montreal, QC, Canada
| | - Kevin Watters
- Department of Pathology, McGill University Health Centre, Montreal, QC, Canada
| | - Alexandra Mereniuk
- Department of Medicine, Division of Dermatology, Hôpital du Sacré-Coeur de Montréal, Montreal, QC, Canada
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Zulli A, Martin A, Facchini F, Coletta R, Tamburini A, Oranges T, Filippeschi C, Bassi A, Buccoliero AM, Morabito A. A Unique Case of Primary Cutaneous Adenoid Cystic Carcinoma Associated with Aplasia Cutis Congenita in a Four-Year-Old Female: A Case Report. CHILDREN 2022; 9:children9020292. [PMID: 35205012 PMCID: PMC8870953 DOI: 10.3390/children9020292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 02/16/2022] [Accepted: 02/18/2022] [Indexed: 11/16/2022]
Abstract
Introduction: Primary cutaneous adenoid-cystic carcinoma (PCACC) is a rare malignant tumour reported in only about 450 cases in the literature, with only two adolescent cases reported. PCACC seems to occur between the fifth and seventh decade of life, and the most frequent regions involved are head and neck (46%). Aplasia cutis congenita (ACC) has an incidence of 1:10,000, and it seems to be rarely associated with neoplastic lesions. Interestingly, the association between PCACC and ACC has, so far, never been described. Methods: We report a case of PCACC in the scalp associated with ACC in a four-year-old patient. Discussion: The patient was under follow-up at the dermatology unit, but suddenly a red lesion appeared within the ACC. This red, ulcerated area increased rapidly over six months, so it was surgically removed, and the pathological examination results were suggestive for cribriform PCACC. According to the guidelines for skin tumours, the patient underwent widening resection, and an advancement-sliding skin flap was performed to recreate the scalp. After one year of follow-up, the patient has no local or widespread recurrence of the PCACC, and the surgical scar appears to have healed well. Conclusions: This clinical case is the first known patient with PCACC associated with ACC. A skin excision biopsy should be performed with wide margins to avoid a second widening resection of skin in a similar scenario. Genetic studies may help to identify the origin of this rare association.
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Affiliation(s)
- Andrea Zulli
- Department of Pediatric Surgery, Meyer Children’s Hospital, 50139 Florence, Italy; (A.M.); (F.F.); (R.C.); (A.M.)
- Correspondence:
| | - Alessandra Martin
- Department of Pediatric Surgery, Meyer Children’s Hospital, 50139 Florence, Italy; (A.M.); (F.F.); (R.C.); (A.M.)
| | - Flavio Facchini
- Department of Pediatric Surgery, Meyer Children’s Hospital, 50139 Florence, Italy; (A.M.); (F.F.); (R.C.); (A.M.)
| | - Riccardo Coletta
- Department of Pediatric Surgery, Meyer Children’s Hospital, 50139 Florence, Italy; (A.M.); (F.F.); (R.C.); (A.M.)
| | - Angela Tamburini
- Department of Hematology-Oncology, Meyer Children’s Hospital, 50139 Florence, Italy;
| | - Teresa Oranges
- Dermatology Unit, Department of Pediatrics, Meyer Children’s University Hospital, 50139 Florence, Italy; (T.O.); (C.F.); (A.B.)
| | - Cesare Filippeschi
- Dermatology Unit, Department of Pediatrics, Meyer Children’s University Hospital, 50139 Florence, Italy; (T.O.); (C.F.); (A.B.)
| | - Andrea Bassi
- Dermatology Unit, Department of Pediatrics, Meyer Children’s University Hospital, 50139 Florence, Italy; (T.O.); (C.F.); (A.B.)
| | | | - Antonino Morabito
- Department of Pediatric Surgery, Meyer Children’s Hospital, 50139 Florence, Italy; (A.M.); (F.F.); (R.C.); (A.M.)
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Current Diagnosis and Treatment Options for Cutaneous Adnexal Neoplasms with Apocrine and Eccrine Differentiation. Int J Mol Sci 2021; 22:ijms22105077. [PMID: 34064849 PMCID: PMC8151110 DOI: 10.3390/ijms22105077] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 04/15/2021] [Accepted: 05/02/2021] [Indexed: 12/16/2022] Open
Abstract
Adnexal tumors of the skin are a rare group of benign and malignant neoplasms that exhibit morphological differentiation toward one or more of the adnexal epithelium types present in normal skin. Tumors deriving from apocrine or eccrine glands are highly heterogeneous and represent various histological entities. Macroscopic and dermatoscopic features of these tumors are unspecific; therefore, a specialized pathological examination is required to correctly diagnose patients. Limited treatment guidelines of adnexal tumor cases are available; thus, therapy is still challenging. Patients should be referred to high-volume skin cancer centers to receive an appropriate multidisciplinary treatment, affecting their outcome. The purpose of this review is to summarize currently available data on pathogenesis, diagnosis, and treatment approach for apocrine and eccrine tumors.
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Bülau JE, Kreipe HH, Jessen E, von Hardenberg S, Auber B, Grohé C, Leo F. Pulmonary Cylindromas in CYLD Cutaneous Syndrome: A Rare Differential Diagnosis of Pulmonary Adenoid Cystic Carcinoma. Clin Lung Cancer 2021; 22:e795-e798. [PMID: 33896728 DOI: 10.1016/j.cllc.2021.03.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 03/02/2021] [Accepted: 03/19/2021] [Indexed: 12/21/2022]
Affiliation(s)
- Judith E Bülau
- Department of Respiratory Medicine, ELK Thorax Center, Berlin, Germany
| | | | - Ellen Jessen
- Human Genetics, Laboratory Dr. Fenner & Kollegen, MVZ, Hamburg, Germany
| | | | - Bernd Auber
- Department of Human Genetics, Hannover Medical School, Hannover, Germany
| | - Christian Grohé
- Department of Respiratory Medicine, ELK Thorax Center, Berlin, Germany
| | - Fabian Leo
- Department of Respiratory Medicine, ELK Thorax Center, Berlin, Germany.
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Gradecki SE, Gru AA, Rieger KE, Raghavan SS. Histopathology of primary cutaneous adenoid cystic carcinoma of the scrotum presenting with predominantly solid growth. J Cutan Pathol 2020; 49:761-764. [PMID: 33314272 DOI: 10.1111/cup.13928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 11/23/2020] [Accepted: 11/27/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Sarah E Gradecki
- Department of Pathology, University of Virginia, Charlottesville, Virginia
| | - Alejandro A Gru
- Department of Pathology, University of Virginia, Charlottesville, Virginia
| | - Kerri E Rieger
- Department of Pathology, Stanford University, Stanford, California
| | - Shyam S Raghavan
- Department of Pathology, University of Virginia, Charlottesville, Virginia
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Wilken R, Carucci JA, Brinster NK, Stevenson ML. Scalp nodule in a 59-year-old female. Int J Dermatol 2020; 60:e166-e168. [PMID: 32639032 DOI: 10.1111/ijd.15011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 05/27/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Reason Wilken
- Department of Dermatology, NYU Langone Medical Center, New York, NY, USA
| | - John A Carucci
- Department of Dermatology, NYU Langone Medical Center, New York, NY, USA
| | - Nooshin K Brinster
- Department of Dermatology, NYU Langone Medical Center, New York, NY, USA
| | - Mary L Stevenson
- Department of Dermatology, NYU Langone Medical Center, New York, NY, USA
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