Hello my dear amigos:
From the bottom of my heart I would like to thank all of you for your prayers, kindest words and concern about my health.
I went for a regular checkup to the dermatologiest and showed her something that I had found and could touch on my scalp (back of the head). She took a sample at the end of February, sent to biopsy and the results came back at the middle of March. I was diagnosed with a rare type of cancer (apocrine adenocarcinoma). Only 50 cases known in the world. It's very rare and maligne. The most common area to show is in the armpit and can cause metastases.
The surgical operation was conducted on Wednesday, April 1. Thursday and Friday having a lot of pain and under Prcoset pills. I satrted feeling better on the weekend and I have been at the office since yesterday. I will have scheduled appointment next Tuesday and the stitches will be removed. The results for the biopsy will come in 2-3 weeks to know if the cancer was removed completely. Also the doctor advised that I have to go into CT-Scan and ultrasounds in order to make sure that everything is ok and not be spreaded in another part of the body.
This is what I found in the Internet about this type of rare cancer;
Apocrine adenocarcinoma comprises a group of rare primary cutaneous carcinomas, which show features of apocrine differentiation.
Site: Axilla or inguinal region and rarely in the nipple, finger and the scalp. Rarely, the tumour may arise in the Moll’s glands of the eyelids. Tumours arising from the anogenital region are regarded as carcinomas of the anogenital glands by some pathologists.
Clinical presentation: Slow growing lesions can be present as painless, solitary, or multiple, solid to cystic masses, ranging in size from 1 to over 5 cm. Colour may vary from red to purple, and show ulceration of the overlying skin.
Non-encapsulated, infiltrative tumour located in the lower dermis and subcutaneous tissue and consists of multiple ductal structures ; Different growth patterns include papillary, tubular, cribriform, cord-like and solid ; Eosinophilic cells with granular and sometimes vacuolated cytoplasm ; At least focal decapitation secretion ;Variable mitotic activity and pleomorphism ; Normal or hyperplastic apocrine glands are often identified close to the invasive tumour ; Cells contain PAS-positive, diastase resistant granules ; Hemosiderin granules may be present in the cytoplasm.
Immunohistochemistry: Tumour cells usually express cytokeratin, epithelial membrane antigen and gross cystic disease fluid protein-15. Carcinoembryonic antigen is usually negative. Some cases demonstrate positivity with S100 protein.
The tumours are initially locally invasive, and systemic dissemination is often associated with regional lymph node metastases. Wide, local excision is the standard treatment for such lesions. Adjuvant radiotherapy may be used in cases with advanced local or regional lesions.I want to keep riding and not ready to die yet!!!
I love you my amigos.......
Jorge
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Topic: Our friend, Jorge (Read 11089 times)