PMC4386778_01
Swelling of the distal phalanx of the right middle finger without prior trauma or infection.
ccid-8-143Fig1.jpg
PMC4386778_01_ccid-8-143Fig1.jpg
f1-ccid-8-143
A 52-year-old man presented with a 12-month history of a swelling of the distal phalanx of the right middle finger without prior trauma or infection (Figure 1).
Intraoperative view of a cystic brown tumor with a soft consistency.
ccid-8-143Fig2.jpg
PMC4386778_01_ccid-8-143Fig2.jpg
f2-ccid-8-143
Intraoperatively, we observed a cystic brown tumor with a soft consistency (Figure 2).
PMC4386778_02
Low-grade papillary eccrine adenocarcinoma with intracystic macropapillary contents.
ccid-8-143Fig3.jpg
PMC4386778_02_ccid-8-143Fig3.jpg
f3-ccid-8-143
The histologic report disclosed an aggressive digital papillary adenocarcinoma with margins not free of tumor (Figures 3-6).
Small and monomorphic nuclei without necrosis.
ccid-8-143Fig4.jpg
PMC4386778_02_ccid-8-143Fig4.jpg
f4-ccid-8-143
The histologic report disclosed an aggressive digital papillary adenocarcinoma with margins not free of tumor (Figures 3-6).
Pan-cytokeratin positive staining in immunocytochemistry.
ccid-8-143Fig5.jpg
PMC4386778_02_ccid-8-143Fig5.jpg
f5-ccid-8-143
The histologic report disclosed an aggressive digital papillary adenocarcinoma with margins not free of tumor (Figures 3-6).
High proliferation activity in areas of solid tumor, Ki67 index 20%.
ccid-8-143Fig6.jpg
PMC4386778_02_ccid-8-143Fig6.jpg
f6-ccid-8-143
The histologic report disclosed an aggressive digital papillary adenocarcinoma with margins not free of tumor (Figures 3-6).
Postoperative view after tumor resection and coverage by full-thickness skin graft.
ccid-8-143Fig7.jpg
PMC4386778_02_ccid-8-143Fig7.jpg
f7-ccid-8-143
The defect was covered with a full-thickness skin graft (Figure 7).