DOI: 10.36347/sjmcr.2016.v04i02.003

Pages: 64-66

Digital papillary adenocarcinoma is a rare sweat gland neoplasm of eccrine differentiation affecting the distal aspect of digits. It is a slow growing tumour and may invade the underlying soft tissues and bone. The tumour is of aggressive nature with a propensity to metastasize and recur. We report a rare case of digital papillary adenocarcinoma of middle phalanx in a 45 years old male with a short history of six months duration. Histopathology and immunohistochemistry confirmed the diagnosis. Partial amputation of the digit was carried out and no signs of recurrence and metastasis were noted after two years of follow up. Thus, digital papillary adenocarcinoma requires a high index of suspicion in conditions where the lesion is arising on the distal aspects of the digits because early detection and treatment can prevent its further progression.