ABSTRACT
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.
Subject(s)
Eccrine Porocarcinoma/secondary , Lymphatic Metastasis , Neoplasms, Multiple Primary/pathology , Sweat Gland Neoplasms/pathology , Aged, 80 and over , Eccrine Porocarcinoma/radiotherapy , Eccrine Porocarcinoma/surgery , Groin , Humans , Lymph Node Excision , Male , Neoplasm Recurrence, Local , Neoplasms, Multiple Primary/surgery , Prognosis , Radiodermatitis/etiology , Sweat Gland Neoplasms/radiotherapy , Sweat Gland Neoplasms/surgeryABSTRACT
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