23077697 Visualization

A 76 Age - year Age old Age woman Sex presented Clinical_event with a 24 Duration - month Duration history Duration of enlarging Lab_value mass Sign_symptom involving the back Biological_structure history of trauma Disease_disorder .
Physical Diagnostic_procedure examination Diagnostic_procedure showed a mass Sign_symptom of an 3x4 Area cm Area in diameter, localized in the right Biological_structure inter Biological_structure - scapular Biological_structure region Biological_structure .
The mass Coreference was ulcerative Detailed_description helophytic Detailed_description , grayish Color in colour, hard Texture in consistency and easily bleeding Detailed_description on Detailed_description manipulation Detailed_description .
The remainder of the examination was unremarkable; no lymphadenopathy Sign_symptom and no abdominal Biological_structure masses Sign_symptom were felt.
After resection Therapeutic_procedure , the histological Diagnostic_procedure examinations Diagnostic_procedure of the specimens have concluded for basal Disease_disorder cell Disease_disorder carcinoma Disease_disorder .
A local Detailed_description recurrence Sign_symptom was observed 18 Date months Date later Date ; the patient was admitted Clinical_event to our institution Nonbiological_location for Lumpectomy Therapeutic_procedure (Figure 1).
Histopathological Diagnostic_procedure examination revealed a syringomatous Sign_symptom pattern Sign_symptom infiltrating the dermis Biological_structure (Figure 2, Figure 3), subcutis Biological_structure and skeletal Biological_structure muscle Biological_structure .
The neoplastic Coreference epithelial Coreference cells Coreference were arranged Detailed_description in Detailed_description interconnecting Detailed_description cords Detailed_description with microcystic Detailed_description areas Detailed_description .
Nests, cords, and tubules of the tumour Sign_symptom extended into the dermis Biological_structure and into the adjacent Biological_structure muscle Biological_structure .
Many lobules Sign_symptom showed squamous Detailed_description differentiation Detailed_description .
Sclerosis Sign_symptom of stroma Biological_structure around Biological_structure the Biological_structure cords Biological_structure was present.
Tumour Sign_symptom cells Sign_symptom were not connected to the epidermis Biological_structure .
The immunohistochemical Diagnostic_procedure analysis Diagnostic_procedure showed positivity Lab_value for anti Diagnostic_procedure - CK7 Diagnostic_procedure (Figure 4), AE1/AE3 Diagnostic_procedure and negativity Lab_value for anti Diagnostic_procedure CEA Diagnostic_procedure and anti Diagnostic_procedure CK20 Diagnostic_procedure .
Based upon her histological and immunohistochemical presentation, the diagnosis of syringomatous Disease_disorder eccrine Disease_disorder carcinoma Disease_disorder was established.
Radiotherapy Therapeutic_procedure of the involved area was performed ( 70 Dosage Gy, Dosage 35 Dosage sessions Dosage )