Display options
Share it on

Rare Tumors. 2015 Jun 25;7(2):5867. doi: 10.4081/rt.2015.5867. eCollection 2015 May 05.

Digital Papillary Adenocarcinoma: Presentation, Natural History and Management.

Rare tumors

Kristen Carter, Jie J Yao, Shelby D Melton, Jorge Lopez, Sergio Huerta

Affiliations

  1. Department of Surgery, University of Texas Southwestern Medical Center , Dallas, TX.
  2. VA North Texas Health Care System , Dallas, TX, USA.
  3. Department of Surgery, University of Texas Southwestern Medical Center , Dallas, TX ; VA North Texas Health Care System , Dallas, TX, USA.

PMID: 26266016 PMCID: PMC4508647 DOI: 10.4081/rt.2015.5867

Abstract

Digital papillary adenocarcinoma (DPA) is a rare malignant tumor of the sweat glands that often presents as a solitary painless mass on the digits of the hands or feet. We present a rare case of DPA on the ankle in a 54 year-old African American man. Although the most common location for digital papillary adenocarcinoma is on the hands and feet, it can present in other locations. Treatment modalities and concerns such as the level of margin resection, degree of negative margins, and the need for a sentinel lymph node biopsy might be different if the tumor is encountered in locations other than the digits. In the following manuscript, we discuss the natural history of this rare tumor including a review of the current literature with emphasis on documented treatment strategies as well as the approach in treating patients with a unique presentation.

Keywords: Surgery; adenocarcinoma; neoplasia; oncology; rare diseases; tumors

References

  1. Ann Plast Surg. 2002 Sep;49(3):326-7 - PubMed
  2. Cutis. 2003 Aug;72(2):145-7 - PubMed
  3. J Am Acad Dermatol. 1990 Aug;23(2 Pt 2):331-4 - PubMed
  4. Orthopedics. 1996 Oct;19(10):899-900 - PubMed
  5. Am J Surg Pathol. 2012 Dec;36(12 ):1883-91 - PubMed
  6. J Cutan Pathol. 1987 Jun;14(3):129-46 - PubMed
  7. Am J Dermatopathol. 2001 Apr;23(2):154-7 - PubMed
  8. J Am Acad Dermatol. 2009 Feb;60(2):331-9 - PubMed
  9. J Cutan Pathol. 1984 Oct;11(5):415-20 - PubMed
  10. Dermatol Pract Concept. 2014 Jul 31;4(3):33-5 - PubMed
  11. Am J Surg Pathol. 2000 Jun;24(6):775-84 - PubMed
  12. Cutis. 2002 Mar;69(3):179-82; quiz 210 - PubMed
  13. Dermatol Surg. 2000 Jun;26(6):580-3 - PubMed

Publication Types