Abstract

Digital papillary adenocarcinoma (DPA) is a rare cutaneous tumor of eccrine origin that often presents as a papule or nodule on the dorsal aspect of a finger. ​ It is challenging to diagnose due to the rarity, its benign appearance and lack of specific clinical or histological features. ​ Excision is recommended given the malignant nature and recurrence rates are variable with metastases presenting in a significant percentage of patients. We present a case of a 49-year-old male with a DPA on his right long finger. ​ We discuss this patients treatment course and the lack of standardized treatment guidelines. Further research is needed to establish evidence-based management strategies for DPA.

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