組織学的に汗腺癌と考えられる頭部の巨大腫瘤

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A 57-year-old female case of giant sweat gland carcinoma on the head is reported.She noticed a red papule on the parie-occipital area of the scalp in 1986. In 1994, the size of the lesion became 12×13×3cm and erythema appeared from the occipitalregion to the nape. The lymph nodes of right lateral cervical and left occipital regions were enlarged. She received chemotherapy using fluorouracil and peplomycin sulfate. The therapy was effective but discontinued because of the side effect. Therefore wechanged to a different combined chemotherapy (CAV: cisplatin, adriamycin, vindesine sulfate) . The reduction of the tumor size and erythema appeared. The tendency to bleed from the tumor was also observed as the effect of CAV therapy. As there have been few reports of chemotherapy for sweat gland carcinoma, it is hopeful that chemotherapy is established in unoperated cases of the carcinoma.
日本皮膚悪性腫瘍学会の論文