Abstract
Introduction : Microcystic adnexal carcinoma (MAC) is a rare
kind of cutaneous neoplasm with a very aggressive local infiltration
that destructs the affected tissues. Its rate of recurrence is high and
it mostly involves the face and scalp regions and most of the patients
get affected in the fourth or fifth decades of their life.
Case presentation: Here in, we report a 61-year-old woman with
a right-sided eyebrow MAC lesion with recurrency.
Result: Total excisional surgery was performed. A-T Flap
surgery was applied on the involved area, and after a 2-year period of
follow up, with no recurrency, hair transplantation with Follicular Unit
Transplantation method was successfully performed on the scarred area.
Conclusion: Although microcystic adnexal carcinoma is an
uncommon neoplasm; dermatologists and ophthalmologists should consider
it as a differential diagnosis, due to its aggressive local
infiltration. Complete surgical excision and long-term follow up must be
applied to manage the disease. Also, hair transplantation with
follicular unit transplantation technique can be considered as a
beneficial method for treating scars resulted from MAC excisional
surgery.
Key words: Microcystic adnexal carcinoma, facial tumor, hair
transplantation, scar