[Multiple recurrent eccrine porocarcinoma with inguinal metastasis. A case report]
Aida Acosta-Arencibia1, Begoña Abrante-Expósito1, Matilde Ramos-Gordillo1
1Servicio de Cirugía Plástica, Estética y Reparadora, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, España.
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.
