BACK GROUND:Cutaneous appendageal tumours are a large diverse group of tumours that are commonly classified according to their state of appendageal differentiationeccrine, apocrine, follicular and sebaceous. MATERIALS AND METHODS: This is a retrospective study that reviewed the clinical records of patients from the Department of pathology, Govt Kilpauk medical college who were diagnosed with skin tumours by histopathology for a period of three years. Afterwards, these cases were, reviewed diagnoses were recorded and classified and analysed according to the patient's age, gender, and localization, occupation, exposure to sunlight and clinical presentation. RESULTS: This descriptive study was an analysis of 29 adnexal tumors with regard to age, clinical presentation, occupation and its correlation with histologic diagnosis. Benign tumors were common and composed of 74% and malignant tumors were 26%. . Mean age of presentation of adnexal tumors in this study was 35.2 years with female predominance. 15 of these tumours were derived from eccrine and apocrine glands, 11 of them showed follicular differentiation, and 3 of them showed sebaceous differentiation. They showed a maximum occurrence in face as nodular and papular lesions. Commonest lesion was Trichoepithelioma. CONCLUSION: Adnexal skin tumors have distinct histological patterns which differentiates them from other cutaneous tumors. Clinical diagnosis of adnexal tumors is extremely difficult because various adnexal tumors have similar clinical presentation and histopathological examination becomes essential in diagnosis
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