Abstract:

Microcystic adnexal carcinoma is an uncommon type of cutaneous neoplasm known by its slow growth but local aggressivity and no potential of systemic metastasis. The standard diagnostic approach is histopathological study of a deep incisional or excisional biopsy. The literature has detailed a variety of treatment modalities, including the Mohs micrographic surgery, standard excision, radiation therapy, chemotherapy, or observation.Mohs is nonetheless the recommended approach nowadays. We describe a unique case of a 69-year-old woman presenting reccurrent Microcystic adnexal carcinoma of the scalp with histologically proven spinal lymph node involvement, treated with surgery, lymph node dissection, and adjuvant radiotherapy. the ongoing assessment shows no evidence of clinical or radiological recurrence at 28 months post-treatment.

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