Table 10 Salient clinical, histologic, and immunohistochemical features of digital papillary adenocarcinoma

From: Do not break a sweat: avoiding pitfalls in the diagnosis of sweat gland tumors

Digital papillary adenocarcinoma

Clinical features

Histologic features

Immunohistochemistry

Nodules (2 cm)

Hands and feet

Wide age distribution

M > F

Potential for disseminated disease and mortality

Nodular, circumscribed, unencapsulated

Rarely infiltrative

Dermal based, ±superficial subcutis

Solid and cystic with tubular and papillary differentiation

Morphologically low- to high-grade without impact on behavior

Preserved second myoepithelial cell layer

Positive

AE1/3

S100

Myoepithelial cell layer:

SMA

Calponin

P63

P40