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Case Reports in Orthopedics
Volume 2017 (2017), Article ID 6456342, 5 pages
https://doi.org/10.1155/2017/6456342
Case Report

Aggressive Digital Papillary Adenocarcinoma of the Hand Presenting as a Felon

1Plastic Surgery Fellowship, Beaumont Hospital-Farmington Hills, Farmington Hills, MI, USA
2Orthopedic Surgery Fellowship, Beaumont Hospital-Farmington Hills, Farmington Hills, MI, USA
3Pathology, Beaumont Hospital-Farmington Hills, Farmington Hills, MI, USA

Correspondence should be addressed to Justin R. Bryant; moc.liamg@tnayrbrnitsuj

Received 17 January 2017; Revised 3 March 2017; Accepted 14 March 2017; Published 21 March 2017

Academic Editor: Elke R. Ahlmann

Copyright © 2017 Justin R. Bryant et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aggressive digital papillary adenocarcinoma is a rare eccrine sweat gland malignancy that is frequently misdiagnosed at initial presentation. Histologically, this tumor is similar in appearance to many adenocarcinomas and as such may be diagnosed as a metastatic lesion. We present the case of a patient with digital papillary adenocarcinoma, which was initially diagnosed as a felon. No consensus has been published regarding the treatment of this disease. A review of the diagnosis, pathology, treatment, and adjunctive treatments of aggressive digital papillary adenocarcinoma are also included.