Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan Region

Introduction: Cutaneous adnexal tumors (CATs) are a group of heterogeneous tumors of the pilosebaceous or eccrine-apocrine origin. Specific diagnosis of CATs is difficult to make. We conducted this retrospective study in a tertiary care center to observe the clinical and histopathological features o...

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Bibliographic Details
Main Authors: Anchana Gulati, Mudita Gupta, Digvijay Dattal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Clinical Dermatology Review
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Online Access:https://journals.lww.com/10.4103/cdr.cdr_110_23
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Summary:Introduction: Cutaneous adnexal tumors (CATs) are a group of heterogeneous tumors of the pilosebaceous or eccrine-apocrine origin. Specific diagnosis of CATs is difficult to make. We conducted this retrospective study in a tertiary care center to observe the clinical and histopathological features of CATs. Materials and Methods: Demographic, clinical features, and histopathologic characteristics of all CATs were collected from records of the dermatology and pathology department over 2 years. Results: There were a total of 44 cases of CATs, accounting for 2.8% of total biopsies. The mean age was 41.3636 ± 18.499 years with a female:male ratio of 1.4:1. Head and neck was the most common site involved in 63.64% of cases; involvement of the face was more common than the scalp. Tumors of follicular origin were seen in 45.4%, eccrine in 43.2%, and those of sebaceous origin in 11.3% of cases. Pilomatricoma was the most common CAT of follicular origin and hidradenoma of eccrine origin. There were 6.8% of malignant CATs. Clinical diagnosis correlated with histopathological findings in 22.7% of cases. Limitations: Not all cases of CATs were sent for histopathological evaluation so the true incidence of these tumors could not be determined. Histochemistry and immunohistochemistry were not done. Conclusion: Making a specific diagnosis of CATs is difficult. A larger number of samples need to be sent for histopathological evaluation so as to sensitize both clinicians and pathologists for a specific diagnosis.
ISSN:2542-551X
2542-5528