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).