Recurrent microcystic adnexal carcinoma

Recurrence of microcystic adnexal carcinoma in the site of previous excision. There are few clinical changes to suggest recurrence, except for extensive firmness to palpation around the skin graft (A). Tissue invasion by this recurrent microcystic adnexal carcinoma was more extensive than evident on clinical examination. Extensive surgical excision including resection of the underlying bone was required (B).