Surg Cosmet Dermatol. 2019;11(4):338-341
A 77-year-old patient presents a case of primary cutaneous ductal eccrine carcinoma in the parietal region of the scalp. The biopsy showed a carcinoma with a ductal and infiltrative pattern, suggestive of metastatic neoplasia. An invasive carcinoma with eccrine tubular pattern was identified. The mastologist and oncologist did not detect primary lesions in other organs. Based on clinical and immunohistochemical analyses, the diagnosis was primary cutaneous eccrine carcinoma. Mohs micrographic surgery was performed with three phases to get a free margin. The tumor presented deep infiltration of the subcutaneous tissue and galea aponeurotica.
Keywords: Carcinoma, intraductal, noninfiltrating; Eccrine glands; Mohs Surgery