Case presentation
A 61-year-old woman referred to our dermatology clinic with a recurrent lesion on her right eyebrow since the last 3 years. The lesion had no pain and had been enlarging slowly during these years. She declared avoidance of excessive sun exposure or radiotherapy on the head or neck region. Excisional surgury had been performed twice on the lesion, and it has been recurred again now.
On the examination, there was a round and elevated lesion with 25 * 30 mm diameter on the right eyebrow. The surface of the lesion was nodular and indurated (Figure 1). The lesion was firm and had no attachment to the underlying periosteum; no skin ulceration or regional lymphadenopathy was seen. The patient declared no tenderness.
After excision biopsy, pathology reported adnexal neoplasm consistent with microcystic adnexal carcinoma.
Total excisional surgery was performed. Finally, A-T Flap surgery was applied on the involved area (figure 2).
The physicians offered her to do radiotherapy, but she refused.
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 (figure 3).