RESUMO
Hidroacanthoma simplex is a rare intraepidermal neoplasia that arises from the acrosyringial portion of the eccrine duct. Malignant transformation of hidroacanthoma simplex is reported in the literature and the treatment is performed with wide excision or Mohs micrographic surgery. We report the first case successfully treated with cryosurgery with a long-term follow up.
Assuntos
Criocirurgia , Porocarcinoma Écrino/cirurgia , Poroma/cirurgia , Neoplasias das Glândulas Sudoríparas/cirurgia , Idoso , Dermoscopia , Porocarcinoma Écrino/patologia , Humanos , Masculino , Poroma/patologia , Neoplasias das Glândulas Sudoríparas/patologiaRESUMO
Abstract: Hidroacanthoma simplex is a rare intraepidermal neoplasia that arises from the acrosyringial portion of the eccrine duct. Malignant transformation of hidroacanthoma simplex is reported in the literature and the treatment is performed with wide excision or Mohs micrographic surgery. We report the first case successfully treated with cryosurgery with a long-term follow up.
Assuntos
Humanos , Masculino , Idoso , Neoplasias das Glândulas Sudoríparas/cirurgia , Criocirurgia , Poroma/cirurgia , Porocarcinoma Écrino/cirurgia , Neoplasias das Glândulas Sudoríparas/patologia , Dermoscopia , Poroma/patologia , Porocarcinoma Écrino/patologiaRESUMO
BACKGROUND: Eccrine porocarcinoma, first described in 1963, is a rare malignant lesion arising from the eccrine sweat glands. It is usually a primary tumour, or even more common, a malignant degeneration of an eccrine poroma. It usually affects older persons and is located most commonly on the lower extremities. About 20% of eccrine porocarcinoma will recur after treatment. The treatment is wide local excision of the primary lesion. This uncommon skin tumour has a locally aggressive behaviour and a high recurrence rate. CLINICAL CASE: An 82 year-old man presenting with multiple recurrent eccrine porocarcinoma with inguinal metastasis. The treatment was a radical excision and inguinal lymphadenectomy. There were no postoperative complications, but there was local recurrence after six months. CONCLUSION: Early diagnosis and wide excision is the best way to achieve a good prognosis, due to the aggressiveness of this tumour.
Assuntos
Porocarcinoma Écrino/secundário , Metástase Linfática , Neoplasias Primárias Múltiplas/patologia , Neoplasias das Glândulas Sudoríparas/patologia , Idoso de 80 Anos ou mais , Porocarcinoma Écrino/radioterapia , Porocarcinoma Écrino/cirurgia , Virilha , Humanos , Excisão de Linfonodo , Masculino , Recidiva Local de Neoplasia , Neoplasias Primárias Múltiplas/cirurgia , Prognóstico , Radiodermite/etiologia , Neoplasias das Glândulas Sudoríparas/radioterapia , Neoplasias das Glândulas Sudoríparas/cirurgiaAssuntos
Humanos , Masculino , Idoso , Neoplasias Cutâneas/cirurgia , Neoplasias Cutâneas/diagnóstico , Neoplasias das Glândulas Sudoríparas/cirurgia , Neoplasias das Glândulas Sudoríparas/diagnóstico , Porocarcinoma Écrino/cirurgia , Porocarcinoma Écrino/diagnóstico , Neoplasias Cutâneas/patologia , Neoplasias das Glândulas Sudoríparas/patologia , Porocarcinoma Écrino/patologia , Coxa da PernaRESUMO
El poroeorcinoma ecrino es un tumor cutáneo maligno infrecuente que deriva de las glándulas sudoríparas ecrinas y que afecta fundamentalmente a personas de edad avanzada. Se localiza con mayor frecuencia en extremidades inferiores, cara y cuero cabelludo y son potencialmente agresivos, tanto localmente como a distancia. Reportamos el caso de una paciente con diagnóstico de Porocarcinoma Ecrino Pigmentado en cuero cabelludo, que fue tratado con extirpación total de la lesión.
Eccrine porocorcinoma is a rare malignant skin tumor derived from eccrine sweat glands. It affects primarily older people and is found more frequently in lower extremities, face and scalp, and is potentially aggressive, both locally and through methastasis. We describe o patient diagnosed with pigmented eccrine porocarcinoma of the scalp, and treated with total excision of the lesion.