Case ReportNo Access

Wide Local Excision with Sentinel Lymph Node Biopsy for Digital Papillary Adenocarcinoma: A Case Report

Eric W. GUO

Department of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, MI, USA

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Alfred P. YOON

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA

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, and

Kevin C. CHUNG

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA

E-mail Address: kecchung@med.umich.edu

Correspondence to: Kevin C. Chung, Section of Plastic Surgery, The University of Michigan Health System, 1500 E. Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340, USA. Tel: +1-734-936-5885,. Fax: +1-734-763-5354.

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https://doi.org/10.1142/S2424835522720535Cited by:0 (Source: Crossref)

Abstract

Digital papillary adenocarcinoma (DPA) is a rare but locally aggressive eccrine tumour that has metastatic potential and most frequently found in the upper extremity. It usually presents as an unremarkable swelling of the skin, commonly misdiagnosed as a benign lesion. We present a 67-year-old male who presented with a slowly growing mass of the right middle finger that was biopsied and diagnosed with DPA. The patient was treated with wide local excision (WLE) and sentinel lymph node biopsy by us during the same operative encounter. This report highlights the need for increased clinical vigilance to diagnose DPAs, and that WLE and sentinel lymph node biopsies can be safe and effective treatments offered.

Level of Evidence: Level V (Therapeutic)

Keywords:

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