RESUMEN
Abstract: Squamoid eccrine ductal carcinoma is a cutaneous malignancy that originates from the eccrine sweat gland. A 76-year-old woman presented with an asymptomatic papule on her nose that had been present for one year. Dermoscopy showed pseudocysts, irregular linear crown vessels, and yellowish-brown globules surrounded by white halos. This is the first dermoscopic description of squamoid eccrine ductal carcinoma. Studies with more cases are needed to confirm the dermoscopic characterization of this tumor.
Asunto(s)
Humanos , Femenino , Anciano , Neoplasias Cutáneas/patología , Carcinoma de Células Escamosas/diagnóstico , Glándulas Ecrinas/patología , Neoplasias Cutáneas/cirugía , Neoplasias Cutáneas/diagnóstico , Inmunohistoquímica , Carcinoma de Células Escamosas/cirugía , Carcinoma de Células Escamosas/patología , Diagnóstico Precoz , Dermoscopía , Diagnóstico Diferencial , Glándulas Ecrinas/cirugíaRESUMEN
Eccrine syringofibroadenoma is a rare benign adnexal neoplasm derived from cells of the acrosyringium of eccrine sweat glands. ESFA usually manifests as a solitary nodule on the extremities of elderly patients, but it may also present as papules, nodules or plaques. Its clinical appearance is nonspecific and malignant neoplasms should beconsidered in the differential diagnosis. However, histopathological findings are typical. The main treatment is surgical excision. In order to illustrate a typical presentation of the tumor, we report a case of solitary eccrine syringofibroadenoma, including the surgical treatment used and its result.
.Asunto(s)
Anciano de 80 o más Años , Femenino , Humanos , Glándulas Ecrinas/patología , Fibroadenoma/patología , Neoplasias de las Glándulas Sudoríparas/patología , Siringoma/patología , Tobillo , Biopsia , Glándulas Ecrinas/cirugía , Fibroadenoma/cirugía , Neoplasias de las Glándulas Sudoríparas/cirugía , Siringoma/cirugía , Resultado del TratamientoRESUMEN
Introdução: A hiperidrose axilar primária e a bromohidrose são problemas comuns que levam vários pacientes a procurar atendimento médico. A remoção das glândulas sudoríparas écrinas e apócrinas da região axilar por meio de lipoaspiração superficial sob anestesia intumescente é um procedimento de pequeno porte, simples e com poucas complicações, oque pode ser observado em nosso estudo. O objetivo deste trabalho é a difusão desta técnica. Método: Vinte e cinco pacientes foram submetidos a lipoaspiração superficial da axila sobanestesia local e sedação. Resultados: Após um ano de acompanhamento pós-operatório, três pacientes apresentaram respostas regulares e dois apresentaram resultados insatisfatórios. Dentre os pacientes analisados, quatorze apresentavam bromohidrose associada e obtiveram respostas satisfatórias com redução significativa ou até mesmo desaparecimento do odor característico. Conclusão: Concluímos que o procedimento é eficaz e seguro para o tratamento de hiperidrose axilar primária e bromohidrose.
Introduction: Axillary hyperhidrosis and bromohidrosis are common problems for which many patients seek medical treatment. The removal of axillary sweat glands using liposuctionwith tumescent anesthesia in an out patient setting is a relatively short and simple procedure with few complications, as seen in this case series. The purpose of is study is to contribute for the spread of this technique. Methods: Twenty five patients were treated with axillaryliposuction under tumescent anesthesia. Results: One year after the procedure, three patients had regular results and two required additional liposuction to the same area. Those who had bromohidrosis associated presented good results with significant reduction of the odor. Conclusion: This procedure is efficient and safe when used to treat primary axillary hiperhidrosis and bromohidrosis.