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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Main Authors: Anchana Gulati, Mudita Gupta, Digvijay Dattal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Clinical Dermatology Review
Subjects:
Online Access:https://journals.lww.com/10.4103/cdr.cdr_110_23
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author Anchana Gulati
Mudita Gupta
Digvijay Dattal
author_facet Anchana Gulati
Mudita Gupta
Digvijay Dattal
author_sort Anchana Gulati
collection DOAJ
description 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.
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spelling doaj-art-3dee1ec3f5534d92a65a0556874a41da2025-02-06T05:07:41ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282025-01-0191273410.4103/cdr.cdr_110_23Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan RegionAnchana GulatiMudita GuptaDigvijay DattalIntroduction: 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.https://journals.lww.com/10.4103/cdr.cdr_110_23clinical features not specificcutaneous adnexal tumorshistopathology gold standard
spellingShingle Anchana Gulati
Mudita Gupta
Digvijay Dattal
Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan Region
Clinical Dermatology Review
clinical features not specific
cutaneous adnexal tumors
histopathology gold standard
title Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan Region
title_full Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan Region
title_fullStr Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan Region
title_full_unstemmed Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan Region
title_short Unveiling the Enigma of Cutaneous Adnexal Tumors: A 2-year Clinicopathological Study in a Tertiary Care Center of the Sub-Himalayan Region
title_sort unveiling the enigma of cutaneous adnexal tumors a 2 year clinicopathological study in a tertiary care center of the sub himalayan region
topic clinical features not specific
cutaneous adnexal tumors
histopathology gold standard
url https://journals.lww.com/10.4103/cdr.cdr_110_23
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AT muditagupta unveilingtheenigmaofcutaneousadnexaltumorsa2yearclinicopathologicalstudyinatertiarycarecenterofthesubhimalayanregion
AT digvijaydattal unveilingtheenigmaofcutaneousadnexaltumorsa2yearclinicopathologicalstudyinatertiarycarecenterofthesubhimalayanregion