Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of malignant eccrine spiradenoma with pulmonary metastasis
Kazuki HASHIMOTOTeppei NISHIIHiromasa ARAIAyako ITOHKenji INUIMunetaka MASUDA
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2012 Volume 73 Issue 9 Pages 2231-2234

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Abstract
A 75-year-old man developed a left middle finger tumor. The tumor was diagnosed as malignant eccrine spiradenoma, and he underwent amputation of the left middle finger ; a lymph node resection of the left axilla was also done. One year later, a chest CT scan revealed a small nodule in the apex of the left lung. To confirm the diagnosis, a partial resection of the left lung was performed during video-assisted thoracoscopic surgery. On histopathology, the pulmonary tumor was diagnosed as a metastasis of the malignant eccrine spiradenoma. Subsequently, 5 years after the left lung resection a partial resection of the right lung was required due to the presence of a metastasis. Currently, the patient is alive without evidence of recurrence. We report this rare case, together with a review of the relevant literature.
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© 2012 Japan Surgical Association
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