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  Vol. 144 No. 10, October 2008 TABLE OF CONTENTS
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Asymptomatic Plaque on the Face—Diagnosis

Arch Dermatol. 2008;144(10):1383-1388.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Primary mucinous carcinoma of the skin.

MICROSCOPIC FINDINGS AND CLINICAL COURSE

Findings from histologic examination showed an essentially unremarkable epidermis; however, the upper dermis showed chronic inflammation and edema. The deep dermis contained a large area of pooled mucin with islands of basaloid epithelial cells displaying round to oval nuclei with even chromatin. The patient was referred to the head and neck surgeons for excision. He was also seen by the oncologists for a systemic workup, the findings of which were negative for extracutaneous disease. The patient underwent wide local excision, with placement of a split-thickness skin graft to repair his defect. At 4 months after surgery, the patient has experienced no recurrence of his tumor.

DISCUSSION

Primary mucinous carcinoma of the skin is a rare subtype of sweat gland carcinoma, with debate regarding its eccrine vs apocrine origin.1 The highest incidence is among individuals aged 50 to 70 years.2-3 It occurs twice as often in men as in women. There are . . . [Full Text of this Article]



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RELATED ARTICLE

Asymptomatic Plaque on the Face—Quiz Case
Neda Nosrati, Jennifer L. Maender, Neil M. Coleman, and Sylvia Hsu
Arch Dermatol. 2008;144(10):1383-1388.
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