Below is an instruction from Human. Write a response.
    ### Instruction:
    What are the treatments for Malignant eccrine spiradenoma ?
    ### Response:
    How might malignant eccrine spiradenoma be treated? Surgery to remove as much of the tumor as possible is usually the first step of treatment for malignant eccrine spiradenoma.  Both a traditional surgical technique known as wide local excision and the newer Mohs micrographic surgery are thought to be effective for treating this cancer.
    