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Adnexal Clear Cell Carcinoma with Comedonecrosis - A Case Report -

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±è¼­Èñ, ÇѼ±Èñ, ¾ÈÁؼ®, ÀÌÁÖÇÑ, ÀÌÀÀ¼®, ¹ÚÈì·Ê, ±è¿µ½Ä,
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±è¼­Èñ ( Kim Seo-Hee ) 
°í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ¾È»êº´¿ø º´¸®Çб³½Ç

ÇѼ±Èñ ( Han Sun-Hee ) 
°í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ¾È»êº´¿ø º´¸®Çб³½Ç
¾ÈÁؼ® ( An Jung-Suk ) 
°í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ¾È»êº´¿ø º´¸®Çб³½Ç
ÀÌÁÖÇÑ ( Lee Ju-Han ) 
°í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ¾È»êº´¿ø º´¸®Çб³½Ç
ÀÌÀÀ¼® ( Lee Eung-Seok ) 
°í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ¾È»êº´¿ø º´¸®Çб³½Ç
¹ÚÈì·Ê ( Park Heum-Rye ) 
°í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ¾È»êº´¿ø º´¸®Çб³½Ç
±è¿µ½Ä ( Kim Young-Sik ) 
°í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ¾È»êº´¿ø º´¸®Çб³½Ç

Abstract


Adnexal clear cell carcinoma with comedonecrosis (ACCCC) is a very rare malignancy of the skin with an aggressive clinical course and a predilection for the scalp. This is the first reported case of ACCCC in Korea. A 79-year-old male presented with left abdominal masses that proved to be two subcutaneous nodules. The tumors histologically consisted of epithelial nests that showed a distinctive zonal arrangement. The centrally located clear cell areas with comedonecroses were merged with the peripheral squamoid cells, often exhibiting retraction artifacts and an infiltrating border. Nuclear pleomorphism and frequent mitoses were prominent. The clear cells were immunopositive for carcinoembryonic antigen and epithelial membrane antigen. We report here on a case of ACCCC involving the abdominal skin, and this tumor should be distinguished from the more indolent squamous cell and tricholemmal carcinomas.

Å°¿öµå

Neoplasms;adnexal and skin appendage;Necrosis;Abdomen

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KCI
KoreaMed
KAMS