title: [Six cases of facial adnexial carcinomas with reconstruction].
abstract: BACKGROUND
  Adnexial carcinomas are a group of rare and aggressive malignant skin tumors. Management of these tumors is not well codified.
  
  
  METHODS
  The authors present a retrospective and single-center study of six cases. Surgery was performed between November 2005 and February 2008.
  
  
  RESULTS
  Pathological study revealed two syringoideccrine carcinomas, one microcystic adnexal carcinoma, two tricholemmal carcinomas, and one extra-ocular sebaceous neoplasm. In five cases, complete excision was guided by extemporaneous examination. In five cases, reconstructive surgery involved loco-regional skin flaps: two Abbé flaps, one Webster flap, one lifting lip flap, one submental flap, and one LLL flap. One case of relapse occurred, at 40months. Several particular characteristics of these tumors are shown in this study. They often follow a non-specific and discrete clinical course, are deeply infiltrated with a perineural tropism in some forms, and are preferentially located in the mid-face. Risks of incomplete excision and relapse are high.
  
  
  CONCLUSIONS
  Complete excision is absolutely necessary in the management of these tumors, especially if reconstructive surgery is performed. Extemporaneous examination was in our experience a good option, particularly in the case of large labial or eyelid excisions.
authors.affiliation: Service de chirurgie plastique, groupe hospitalier Paris Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France. phpeli@gmail.com
authors.forename: P
authors.initials: P
authors.lastname: Pelissier
authors.forename: F
authors.initials: F
authors.lastname: Bodin
authors.forename: V
authors.initials: V
authors.lastname: Kadoch
authors.forename: S
authors.initials: S
authors.lastname: Himy
authors.forename: C
authors.initials: C
authors.lastname: Bruant
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018280:Carcinoma, Skin Appendage / Q000473:pathology / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000601:surgery; D005153:Facial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D018294:Neoplasms, Adnexal and Skin Appendage / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012626:Sebaceous Gland Neoplasms / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome