Aggressive digital papillary adenocarcinoma 5 years after surgical resection of adenoma on index finger

作者：Horii Tomoko^*; Sekiya Hitoshi; Takatoku Kenzo; Hoshino Yuichi

来源：European Journal of Orthopaedic Surgery and Traumatology, 2010, 20(5): 397-399.

DOI：10.1007/s00590-009-0580-1

• Aggressive digital papillary adenocarcinoma
• Aggressive digital papillary adenoma
• Sweat gland tumor
• Hand tumor

We experienced 72-year-old male who was diagnosed aggressive digital papillary adenocarcinoma (ADPAca) on his right index finger. He had a history of surgical excision of the tumor diagnosed aggressive digital papillary adenoma (ADPA) at the same site 5 years before. After the diagnosis of second surgery, we added the third surgery for wide resection. There are no recurrence and metastasis at postoperative 3 years after third surgery. ADPA and ADPAca have been considered to be different disease by the pathological findings. However, there were many opinions that they should be the same disease clinically because rates of metastasis and local recurrence had no difference in two diseases. Our case experience strongly supported the two diseases should be considered as the same disease. We recommend additional excision of the tumor even the pathological diagnosis is benign as ADPA.

• 出版日期2010-7