title: Microcystic Adnexal Carcinoma of the Nasal Tip Treated With Surgical Excision and Rotational Forehead Skin Flap.
abstract: Microcystic adnexal carcinoma (MAC) is a rare malignant cutaneous adenocarcinoma that typically occurs in the head and neck, particularly at the central face. There are only slightly more than 300 patients reported worldwide, and most patients occur in Caucasians. A 72-year-old man was referred to our hospital for definitive treatment of known MAC from previous biopsy. Wide excision of nasal tip and reconstruction of nasal defect with paramedian forehead flap and nasolabial flap transposition were performed rather than conventional Mohs surgery, due to grossly evident disease. Pathological examination verified 4.5 × 3 cm sized MAC with free resection margins. The patient is being followed up without any evidence of disease.
authors.affiliation: *Department of Otorhinolaryngology†Department of Pathology‡Department of Plastic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
authors.forename: Min Seok
authors.initials: MS
authors.lastname: Kang
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Lee
authors.forename: Ji Seop
authors.initials: JS
authors.lastname: Kim
authors.forename: In Sik
authors.initials: IS
authors.lastname: Yun
authors.forename: Hyung Kwon
authors.initials: HK
authors.lastname: Byeon
mesh_terms: D000368:Aged; D005546:Forehead / Q000601:surgery*; D006801:Humans; D008297:Male; D015580:Mohs Surgery / Q000379:methods*; D009666:Nose / Q000601:surgery*; D012867:Skin / Q000473:pathology*; D012878:Skin Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013524:Surgical Flaps; D013544:Sweat Gland Neoplasms / Q000175:diagnosis / Q000601:surgery*