Case Number : Case 37 Posted By: Guest

Alejandro Velez Hoyos - Hospital pablo Tobon uribe (Medellin Colombia) Wrote:

adenoid cystic carcinoma

Submitted on 25/09/2011 21:35
________________________________________
Phillip McKee - Overseas consultations (USA) Wrote:

Sorry to be so late but I had a meeting to attend. It is an adenoid cystic carcinoma. The importance is excluding direct extension from a salivary or ceruminous gland tumor and a metastasis. There are occasional accounts of systemic adenoid cystic carcinoma presenting as a skin lesion. So great care is essential before accepting such a tumor as being a primary cutaneous lesion (although the vast majority in the skin are). Have a great weekend. Phillip

Submitted on 31/07/2010 01:09
________________________________________
Eman El-Nabarawy - Dermatology Department,Faculty of Medicine, Cairo university. (Egypt) Wrote:

Could be the question that we should ask ourselves, if it is adenoid cystic carcinoma,is it primary or secondary?

Submitted on 30/07/2010 20:40
________________________________________
Miah - (UK) Wrote:

Could this not be a metastasis of an adenoid cystic carcinoma ? Also location is very important - if the lesion is around the oral cavity or parotid gland it may be of salivary gland origin and not primary skin

Submitted on 30/07/2010 20:29
________________________________________
Yvonne Bury - (UK) Wrote:

Looking at it again I reconsider my diagnosis to adenoid cystic carcinoma

Submitted on 30/07/2010 19:43
________________________________________
Wayne Grayson - (Johannesburg, South Africa) Wrote:

I think this field shows part of a primary cutaneous adenoid cystic carcinoma.

Submitted on 30/07/2010 16:45
________________________________________
Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good morning.. could be Ecrine Carcinoma

Submitted on 30/07/2010 13:56
________________________________________
Yvonne Bury - (UK) Wrote:

I can see adipocytes at the lower edge of the picture which means that we are in the deep dermis. And I was wondering, if the background is really mucinous, would eccrine mucinous carcinoma be a valid differential in this situation? (And as always one would need to consider a metastasis i.e. from breast in such a tumour depending on the clinical context.) Great case!

Submitted on 30/07/2010 13:15
________________________________________
Phillip McKee - Overseas consultations (USA) Wrote:

You are all on the right track but there is one question you should be asking yourselves! Dr Hartley, many thanks for your kind comments. They are much appreciated. Phillip

Submitted on 30/07/2010 12:46
________________________________________
Amira Tawdy - Cairo University (Egypt) Wrote:

I first thought of tubular apocrine adenoma but after deeper looking to the photo I noticed the hyperchromatic appearance of the nuclei being embeded in mucinous stroma I suggest primary adenoid cystic carcinoma

Submitted on 30/07/2010 09:30
________________________________________
Hartley M. - (UK) Wrote:

Adenoidal BCC - I would like to see more clear cut areas of BCC to confirm. Dr Mckee this is my first visit to the site and I must say I have not seen illustrations of such high standard and also excellent educational cases that I dont see in my day to day practice which is a great learning experience.

Submitted on 30/07/2010 08:26
________________________________________
Eman El-Nabarawy - Dermatology Department,Faculty of Medicine, Cairo university. (Egypt.) Wrote:

Adenoid cystic carcinoma. DD mucinous eccrine adenocarcinoma.

Submitted on 30/07/2010 04:23
________________________________________
Marcela Saeb Lima - MSL Dermatopato (Mexico City) Wrote:

Adenoid cystic carcinoma

Submitted on 30/07/2010 00:32
________________________________________
Marwa Fawzi - Cairo University (Egypt) Wrote:

Sorry,i was confused .I agree with adenoid cystic carcinoma.

Submitted on 30/07/2010 00:02
________________________________________
Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Sweat gland tumor. Glandular proliferations with cribriform pattern. This is adenoid cystic carcinoma.

Submitted on 29/07/2010 22:55
________________________________________
Rodrigo Restrepo - UPB (Mdlln/Colombia) Wrote:

Adenoid cystic carcinoma

Submitted on 29/07/2010 22:04
________________________________________
Marwa Fawzi - Cairo University (Egypt) Wrote:

I can see nodules of basaloid cells deep in the dermis,with small ducts and large cystic spaces some contain decapitation secretion in hyalinized collagenous stroma so my first impression is nodular hidradenoma

Submitted on 29/07/2010 21:09
________________________________________