Microcystic adnexal carcinoma is an uncommon cutaneous tumor with mult
iple synonyms. On cursory microscopic examination, the tumor mimics sy
ringoma and other benign skin adnexal tumors, However, the asymmetric,
infiltrative growth pattern clearly sets the lesion apart as carcinom
a. The tumor is locally aggressive, with recurrences common, but regio
nal metastases are rare. Histogenesis is controversial. Optimal treatm
ent consists of complete surgical excision with clear surgical margins
.