ABSTRACT
Benign skin diseases have seldom been treated with radiotherapy, unless resistant to other treatments. Eccrine syringofibroadenoma (ESFA) is a rare benign eccrine tumor. ESFA very rarely presents bilateral lesions, and seldom a nonsurgical treatment has been proposed. An exceptional case of bilateral ESFA of the foot is presented; radiotherapy was effective in treating both lesions with good cosmetic results.
Subject(s)
Eccrine Glands , Fibroadenoma/radiotherapy , Foot Diseases/radiotherapy , Sweat Gland Neoplasms/radiotherapy , Syringoma/radiotherapy , Aged , Female , Fibroadenoma/complications , Fibroadenoma/pathology , Foot Diseases/complications , Foot Diseases/pathology , Humans , Obesity/complications , Sweat Gland Neoplasms/complications , Sweat Gland Neoplasms/pathology , Syringoma/complications , Syringoma/pathologySubject(s)
Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Antimetabolites/therapeutic use , Breast Neoplasms/drug therapy , Breast Neoplasms/radiotherapy , Breast Neoplasms/secondary , Child , Child, Preschool , Female , Fibroadenoma/drug therapy , Fibroadenoma/radiotherapy , Humans , Precursor Cell Lymphoblastic Leukemia-Lymphoma/complications , Precursor Cell Lymphoblastic Leukemia-Lymphoma/radiotherapy , Recurrence , Remission InductionABSTRACT
BACKGROUND: Eccrine syringofibroadenoma is a rare benign eccrine ductal proliferation with a predilection for the extremities, most often found in middle-aged and elderly patients. Reported treatments have included excision and conventional destructive modalities; however, recurrences may be common. OBJECTIVE: We describe a patient with a chronic ulcerated verrucoid eccrine syringofibroadenoma that persisted despite cryotherapy or curettage and electrodessication. RESULTS: Treatment with a dual pulse width flashlamp pumped pulsed dye laser (FPDL) produced an excellent clinical response. CONCLUSION: Treatment of eccrine syringofibroadenoma with a FPDL may provide both a vascular specific injury, analogous to the treatment of verruca vulgaris, and nonspecific thermal destruction at high fluences.
