Digital papillary adenocarcinoma (DPAca) is a rare eccrine sweat gland tumor that typically presents on the upper extremities and can evade correct diagnosis and treatment because of its benign appearance. Treatment for lesions of the distal digits requires amputation given the high risk of metastasis and recurrence. This paper reviews a digital papillary adenocarcinoma in a patient who was initially managed at an outside institution and required further surgery including amputation. Treatment recommendations are reviewed.
aDepartment of Orthopedic Surgery, Stanford University, Menlo Park, CA
bDepartments of Dermatology and Pathology, Stanford University, Stanford, CA
cDepartment of Plastic Surgery, Stanford University, Redwood City, CA
Financial Disclosure: The authors report no conflicts of interest.
Correspondence to Chason Ziino MD, Stanford Hospital and Clinics, Room R144-M/C:5341, 300 Pasteur Drive, Stanford, CA 94305-2200Tel: 508-863-6911; fax: 650-498-6899;e-mail: Chason@stanford.edu.