Diagnosing malignant mixed tumours is difficult as there many types of tumours and their variants.<unk>  is particularly challenging to distinguish from other skin tumours as it is prone to the absence of definitive symptoms and an ambiguous clinical presentation. Some signs that help determine diagnosis of malignancy include: "mitosis, nuclear atypia, pleomorphism, lymphatic invasion, and local recurrence" (IADVL, 2004). Though it is usually found within women in the forties, the youngest-recorded case was fourteen years old and the oldest was eighty-six. The tumour is described as invasive and is clinically characterised by faster growth than the benign<unk><unk> . They can generally be diagnosed when presenting "an epithelial component, eccrine or apocrine differentiation and myoepithelial component of fluctuating prominence" (IADVL, 2004). Diagnosis is recommended to follow microscopic analysis to ensure correct examination.
Malignant chondroid syringoma
Neural fibrolipoma
Aggressive angiomyxoma
Malignant acrospiroma
Chondroid syringoma
Peripheral ossifying fibroma
Malignant ectomesenchymoma
Ganglion cyst