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Eccrine porocarcinoma of the eyelid treated with Mohs micrographic surgery
Renee A D'Ambrosia1, Holly Ward, Edward Parry
1Department of Dermatology, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, LA 70112, USA.
Background:
Eccrine porocarcinoma (EPC) is a rare malignant tumor of the eccrine sweat glands. The lesions are reported to occur most commonly on the lower extremity with variable prognosis.
Objective:
To discuss the clinical and histologic features and the prognosis of EPC.
Methods:
We report a 71-year-old man who presented with an asymptomatic lesion on his lower eyelid that had been present for 6 weeks.
Results:
The 4 x 4-mm lesion was removed in two stages using the Mohs micrographic surgery fresh-tissue technique. The histopathologic diagnosis was primary EPC.
Conclusion:
EPCs most commonly occur on the lower extremity. This case is interesting because the lesion was located on the lower eyelid.
