Eyelid microcystic adnexal carcinoma
R. J. Hesse, J. C. Scharfenberg, J. L. Ratz and E. Griener
Department of Ophthalmology, Ochsner Clinic, New Orleans, La., USA.
Microcystic adnexal carcinoma is an uncommon cutaneous tumor with multiple
synonyms. On cursory microscopic examination, the tumor mimics syringoma
and other benign skin adnexal tumors. However, the asymmetric, infiltrative
growth pattern clearly sets the lesion apart as carcinoma. The tumor is
locally aggressive, with recurrences common, but regional metastases are
rare. Histogenesis is controversial. Optimal treatment consists of complete
surgical excision with clear surgical margins.
