A Painful Step - Pendulating Plantar Eccrine Poroma.

Area of Science:

• Dermatology
• Surgical Oncology

Background:

• Eccrine poroma is a benign tumor originating from eccrine duct epithelium.
• Typically presents as a nodular lesion.
• This case highlights a rare pendulating plantar variant.

Observation:

• A 78-year-old man presented with a painful, pendulating, flesh-colored, malodorous plantar tumor.
• Differential diagnoses included various benign and malignant skin lesions.
• Microbiological analysis revealed significant bacterial colonization.

Findings:

• Histopathology confirmed a well-circumscribed tumor of cuboidal cells with eosinophilic cytoplasm.
• The tumor's presentation was unusual, being pendulating and plantar.
• Bacterial colonization posed a risk for deep soft tissue infections.

Implications:

• Pendulating plantar eccrine poroma is a rare clinical presentation.
• Early diagnosis and surgical intervention are crucial.
• Potential for pain, infection, and malignant transformation necessitates prompt treatment.