Aggressive Digital Papillary Adenocarcinoma Case Report of a Positive Sentinel Lymph Node and Discussion of Utility of Sentinel Lymph Node Biopsy

作者：Kempton Steve J^*; Navarrete Andrew D; Salyapongse A Neil

来源：Annals of Plastic Surgery, 2015, 75(1): 34-36.

DOI：10.1097/SAP.0000000000000111

• adenoma
• cutaneous digital papillary adenocarcinoma
• sentinel lymph node

Aggressive digital papillary adenocarcinoma (ADPA) is an uncommon eccrine sweat gland tumor of the distal extremities that is associated with a high rate of local recurrence and distant metastasis. Current opinion suggests that sentinel lymph node evaluation should be done for high-risk tumors where lymph node spread is a concern. Despite documented spread to regional lymph nodes, information on sentinel lymph node status in ADPA is reported infrequently, with only 1 documented case of positive findings. We report on a case of ADPA of the right long finger where sentinel lymph node biopsy was done and positive for metastases in the axilla, resulting in a subsequent completion lymphadenectomy. To determine the benefit of sentinel lymph node biopsy in ADPA, there is a need for more cases of sentinel lymph node evaluation along with data on local recurrence and distant metastasis in those with positive and negative findings.

• 出版日期2015-7