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
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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.
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September-2015
Volume 10 Issue 3

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

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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