ABSTRACT
ABSTRACT: Digital papillary adenocarcinoma is a malignant adnexal tumor with a predilection for acral sites. Hidradenoma is a benign solid and cystic sweat gland neoplasm with focal ductal and glandular differentiation and good outcomes. Hidradenomas can occur at acral sites and show papillary structures; for this reason, they are included in the differential diagnosis of digital papillary adenocarcinoma, and immunohistochemistry is a valuable tool in this scenario. We described a case of a 43-year-old man with an epithelial tumor showing papillary structures in the intermediate phalanx of the fourth finger. There was diffuse positivity for p63 and negativity for S100 protein, suggesting that this tumor was an acral hidradenoma with papillary structures.
Subject(s)
Acrospiroma , Adenocarcinoma, Clear Cell , Adenocarcinoma, Papillary , Adenoma, Sweat Gland , Bone Neoplasms , Breast Neoplasms , Carcinoma, Skin Appendage , Skin Neoplasms , Sweat Gland Neoplasms , Acrospiroma/diagnosis , Acrospiroma/surgery , Adenocarcinoma, Papillary/chemistry , Adenocarcinoma, Papillary/diagnosis , Adenocarcinoma, Papillary/surgery , Adenoma, Sweat Gland/pathology , Adult , Humans , Immunohistochemistry , Male , S100 Proteins , Skin Neoplasms/diagnosis , Skin Neoplasms/pathology , Skin Neoplasms/surgery , Sweat Gland Neoplasms/diagnosis , Sweat Gland Neoplasms/metabolism , Sweat Gland Neoplasms/surgeryABSTRACT
Hand deformities affect aesthetics function of hand severely compromised and also cause psychological disturbances. This report describes the fabrication of a silicone finger prosthesis for a patient after an accident at work. The finger prosthesis was retained by a vacuum effect on the stump. The silicone material Silastic-MDX 44210 was used to provide function and aesthetics. The finger prosthesis offered psychological, functional and rehabilitative advantages for the patient. Restoring the natural appearance with the prosthesis eliminated the trauma generated by the dysfunction and represented an efficient psychological therapy.
