search button

Treatment of nasal microcystic adnexal carcinoma with an expanded rotational forehead skin flap: A case report and review of the literature

  • Authors:
    • Rong‑Rong Zhou
    • Qi‑Ming Zhao
    • Xu‑Dong Zhang
    • Jing‑Bing Gan

  • View Affiliations

  • Published online on: July 3, 2015     https://doi.org/10.3892/etm.2015.2614
  • Pages: 1202-1206
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Microcystic adnexal carcinoma (MAC) is a rare and locally aggressive adenocarcinoma with low‑grade malignancy. The present study describes the first reported case and treatment of a Chinese male with a MAC located on the nasal dorsum and nosewing. A 44‑year‑old man presented with a nasal deformity caused by local repeated infections following an accidental injury to the nose 20 years previously. The nose had been injured by a brick, and treatment at a local hospital 12 years previously had resulted in a nasal scar and a gradually enlarging mass. A physical examination revealed a hypertrophic deformity of the nose and an indurated scar plaque, measuring 2.0x2.0 cm, on the nasal dorsum and nosewing. Microscopic examination revealed a tumor consisting of solid cell nests and a cystic structure with a capsular space. In addition, ductal cells of an adnexal cell origin were visible in the outer epithelium. The medial portion exhibited a microductal structure and invasion of deeper tissues without evident atypia. The tumor cells presented normal nuclear to cytoplasmic ratios and minimal mitotic activity. Pathological examination verified that the tumor was a MAC of low‑grade malignancy. A complete surgical resection was performed via Mohs micrographic surgery (MMS), and reconstruction was achieved using an expanded rotational forehead skin flap. No tumor recurrence was detected after a three‑year follow‑up period. Therefore, for effective treatment of similar MAC cases, complete surgical resection using MMS is recommended, and successful reconstruction may be achieved using an expanded skin flap.
View Figures
View References

Related Articles

Journal Cover

September-2015
Volume 10 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

  • Journal Metrics
  • Impact Factor: 2.4
  • Ranked Medicine Research and Experimental
    (total number of cites)
International Symposium on Molecular Medicine Conference Banner
The Cancer Story
World Congress on Advances in Oncology and International Symposium on Molecular Medicine Conference Banner
World Academy Of Sciences Banner
Heyday Road Banner

0

Copy and paste a formatted citation
x
Spandidos Publications style
Zhou RR, Zhao QM, Zhang XD and Gan JB: Treatment of nasal microcystic adnexal carcinoma with an expanded rotational forehead skin flap: A case report and review of the literature. Exp Ther Med 10: 1202-1206, 2015.
APA
Zhou, R., Zhao, Q., Zhang, X., & Gan, J. (2015). Treatment of nasal microcystic adnexal carcinoma with an expanded rotational forehead skin flap: A case report and review of the literature. Experimental and Therapeutic Medicine, 10, 1202-1206. https://doi.org/10.3892/etm.2015.2614
MLA
Zhou, R., Zhao, Q., Zhang, X., Gan, J."Treatment of nasal microcystic adnexal carcinoma with an expanded rotational forehead skin flap: A case report and review of the literature". Experimental and Therapeutic Medicine 10.3 (2015): 1202-1206.
Chicago
Zhou, R., Zhao, Q., Zhang, X., Gan, J."Treatment of nasal microcystic adnexal carcinoma with an expanded rotational forehead skin flap: A case report and review of the literature". Experimental and Therapeutic Medicine 10, no. 3 (2015): 1202-1206. https://doi.org/10.3892/etm.2015.2614