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Multiple vascular eccrine spiradenomas: a case report and published work review of multiple eccrine spiradenomas
Aki Yoshida1, Kazuhiro Takahashi, Fumihiko Maeda
1Department of Dermatology, Iwate Medical University School of Medicine, Morioka, Japan. akiyoshida0629@yahoo.co.jp
The Journal of Dermatology
|November 3, 2010
Summary
Multiple vascular eccrine spiradenomas (VES), a rare variant of eccrine spiradenoma, presented unusually in a 55-year-old woman. This case highlights the rarity of multifocal VES and contributes to understanding ES classification.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Eccrine spiradenoma (ES) typically presents as a solitary nodule.
- Rare presentations include multifocal or multiple tumors in linear, zosteriform, or nevoid patterns.
Observation:
- A 55-year-old woman presented with a 48-year history of multiple vascular eccrine spiradenomas (VES) on the left submandibular region and neck.
- The five tumors were skin-colored to pinkish-purple, measuring 1.5-2.5 cm.
- Histology revealed characteristic ES cell types and prominent dilated vascular spaces within the stroma.
Findings:
- Contrast-enhanced CT demonstrated central enhancement in the tumors.
- A literature review identified 35 cases of multiple ES, with multiple VES being exceptionally rare.
- The study summarizes features of previously reported multiple ES cases.
Implications:
- This case underscores the extreme rarity of multiple VES.
- Further discussion on the clinical and histological classification of ES is warranted.
- Understanding rare presentations of ES is crucial for accurate diagnosis and management.
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