Eccrine poroma on the face: an atypical presentation
Rashmi S Mahajan1, Anugrah A Parikh1, Nikhil P Chhajlani1
1Department of Dermatology, S.B.K.S Medical Institute and Research Centre, Piparia, Waghodia, Vadodara, Gujarat, India.
Indian Journal of Dermatology
|January 29, 2014
Summary
Eccrine poroma, a rare skin tumor, can mimic other conditions like basal cell carcinoma. This case highlights the importance of biopsy for accurate diagnosis of this benign eccrine duct tumor.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Eccrine poroma is a benign adnexal neoplasm originating from the intraepidermal eccrine duct.
- Commonly presents on the extremities, but can occur on the face.
- Differential diagnosis often includes other skin neoplasms such as basal cell carcinoma and keratoacanthoma.
Purpose of the Study:
- To report a case of eccrine poroma presenting as a facial nodule.
- To emphasize the diagnostic challenges and the role of histopathology.
Main Methods:
- Clinical presentation of a slow-growing nodular lesion on the cheek.
- Diagnostic workup involving biopsy and histopathological examination.
Main Results:
- Histopathology revealed a well-defined epidermal tumor composed of uniform small cuboidal cells.
- Features included rounded basophilic nuclei, scant ductal lumina, and cystic spaces.
- Diagnosis of eccrine poroma was confirmed.
Conclusions:
- Eccrine poroma can present atypically on the face, mimicking more common malignancies.
- Histopathological analysis is crucial for definitive diagnosis.
- Early and accurate diagnosis facilitates appropriate management.
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