Published online by Cambridge University Press: 17 June 2025
Traditionally tumors derived from the cutaneous appendages are classified according to their lines of differentiation: either follicular, sebaceous, eccrine or apocrine. However, there are overlapping histologic features and the classification is far from being straight forward. Often a tumor would exhibit multiple lines of differentiation with features of both eccrine and apocrine and even sebaceous differentiation. In some instances, immunohistochemistry can be of help in distinguishing epidermal from adnexal origin, benign from malignant adnexal neoplasms, and primary adnexal carcinoma from cutaneous metastases.
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