A slowly enlarging mass on the finger

Julie Jefferson, Curtis Thompson, Phoebe Rich

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

An otherwise healthy 71-year-old woman presented with an asymptomatic mass on her right 4th finger that had been slowly enlarging over the past 2 years. On physical examination, there was a tan-pink, freely mobile, rubbery 9-mm papule with a central keratotic plug located over the extensor aspect of the proximal interphalangeal joint of the right 4th finger. A 3-mm punch biopsy of the lesion was performed. Histopathologic findings were consistent with a diagnosis of aggressive digital papillary adenocarcinoma (ADPAca), an adnexal tumor with high metastatic potential that is unfortunately commonly misdiagnosed owing to its rarity and nondescript appearance. Aggressive surgical treatment including radical excision or digital amputation with or without sentinel lymph node biopsy is advocated in the treatment of ADPAca.

Original languageEnglish (US)
Article number5
JournalDermatology Online Journal
Volume20
Issue number2
StatePublished - Mar 28 2014

Fingerprint

Papillary Adenocarcinoma
Fingers
Sentinel Lymph Node Biopsy
Diagnostic Errors
Amputation
Physical Examination
Joints
Biopsy
Therapeutics
Neoplasms

Keywords

  • Aggressive digital papillary adenocarcinoma

ASJC Scopus subject areas

  • Dermatology

Cite this

Jefferson, J., Thompson, C., & Rich, P. (2014). A slowly enlarging mass on the finger. Dermatology Online Journal, 20(2), [5].

A slowly enlarging mass on the finger. / Jefferson, Julie; Thompson, Curtis; Rich, Phoebe.

In: Dermatology Online Journal, Vol. 20, No. 2, 5, 28.03.2014.

Research output: Contribution to journalArticle

Jefferson, J, Thompson, C & Rich, P 2014, 'A slowly enlarging mass on the finger', Dermatology Online Journal, vol. 20, no. 2, 5.
Jefferson J, Thompson C, Rich P. A slowly enlarging mass on the finger. Dermatology Online Journal. 2014 Mar 28;20(2). 5.
Jefferson, Julie ; Thompson, Curtis ; Rich, Phoebe. / A slowly enlarging mass on the finger. In: Dermatology Online Journal. 2014 ; Vol. 20, No. 2.
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