Infiltrative Recurrent Eccrine Spiradenoma of the Anterior Neck Treated Using Mohs Micrographic Surgery

presence of local or regional metastatic disease and a chest radiograph to detect distant metastatic disease.Evaluations should be performed quarterly for the first 2 years and then every 6 months for up to 5 years. 4 Greater than 90% local control is achieved in patients who undergo excision and RT. 5 ConclusionThis case is the first reported in the literature of an AMFS treated using Mohs micrographic surgery instead of wide local excision.RT as an adjuvant to excision should also be considered.Because of the propensity of this tumor to involve acral sites, where tissue conservation is important, Mohs micrographic surgery may be an alternative treatment modality for this rare entity.