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Eccrine porocarcinoma presenting as a recurrent wart
Richard Torbeck1, Justin Fazio2, Jason B Lee3
1Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Cutis
|May 1, 2019
Summary
Eccrine porocarcinoma (EPC), a rare skin cancer, typically affects older individuals. This case highlights Mohs micrographic surgery (MMS) as a successful treatment for EPC, even in younger patients presenting with recurrent symptoms.
Area of Science:
- Dermatology
- Surgical Oncology
- Oncology
Background:
- Eccrine porocarcinoma (EPC) is an exceptionally rare sweat gland malignancy.
- EPC diagnosis is infrequent, constituting a small fraction of all skin cancers.
- Wide local excision (WLE) is the traditional treatment, but associated with high recurrence and metastasis rates.
Observation:
- A 36-year-old male presented with a recurrent lesion initially misdiagnosed as a wart.
- The lesion was confirmed as eccrine porocarcinoma (EPC) upon further investigation.
- The patient had a history of a prior similar lesion.
Findings:
- Mohs micrographic surgery (MMS) demonstrated a high cure rate in this case of eccrine porocarcinoma (EPC).
- MMS offers a potentially superior alternative to wide local excision (WLE) for EPC, with reduced recurrence rates.
- The successful treatment of a younger patient with EPC underscores the versatility of MMS.
Implications:
- Mohs micrographic surgery (MMS) should be considered a primary treatment option for eccrine porocarcinoma (EPC), especially in cases with high recurrence risk.
- Further research into standardized treatment protocols for EPC is warranted.
- This case suggests that MMS may offer improved outcomes and higher cure rates compared to traditional WLE for this rare malignancy.
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