0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Correspondence |

Cutaneous Apocrine Carcinoma Masquerading as Head and Neck Cellulitis: An Ominous Sign

Aaron M. Secrest, PhD, MPH; Raja R. Seethala, MD; Laura K. Ferris, MD, PhD; Hakeem Sam, MD, PhD
Arch Dermatol. 2011;147(11):1335-1337. doi:10.1001/archdermatol.2011.349.
Text Size: A A A
Published online

Extract

Correspondence: Dr Sam, Department of Dermatology, University of Pittsburgh, 3601 Fifth Ave, Sixth Floor, Pittsburgh, PA 15213 (samh@upmc.edu).

Financial Disclosure: Dr Ferris has served as an investigator and consultant for Electro-Optical Science Inc and as an investigator for DermTech International.

Funding/Support: Dr Secrest was supported by training grant F30-DK082137 from the National Institute of Diabetes and Digestive and Kidney Diseases.

Additional Contributions: Philip Symes, MD, Conrad Stachelek, MD, PhD, and Robert Ferris, MD, PhD, provided valuable advice and expert clinical input, and Erin Deeb, BS, provided technical assistance.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Patient presented with a poorly demarcated, erythematous plaque with firm woody edema involving the right cheek and anterior neck.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. Biopsy specimens from posterior side of patient's right neck. A, Skin with tumor composed of complex glandular structures (arrows) infiltrating the deep dermis (hematoxylin-eosin, original magnification ×4). B, Tubular formation with luminal secretions and cellular infiltrate with eosinophilic cytoplasm, pleomorphic nuclei, prominent nucleoli, and decapitation secretion (hematoxylin-eosin for both images, original magnification ×40 for the primary image and ×60 for the inset); the arrows in the inset indicate decapitation secretion. C, Under androgen receptor immunohistochemical staining, tumor cells show strong nuclear activity; seen in the top portion of the image as internal controls, normal sebaceous cells also show positive staining (original magnification ×20). D, Gross cystic disease fluid protein 15 immunohistochemical staining is strongly positive in tumor cells (original magnification ×20).

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();