1
|
Dermal Duct Tumor: A Diagnostic Dilemma. Dermatopathology (Basel) 2022; 9:36-47. [PMID: 35225875 PMCID: PMC8883970 DOI: 10.3390/dermatopathology9010007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 11/17/2022] Open
Abstract
Poromas or poroid tumors are a group of rare, benign cutaneous neoplasms derived from the terminal eccrine or apocrine sweat gland duct. There are four poroma variants with overlapping features: dermal duct tumor (DDT), eccrine poroma, hidroacanthoma simplex, and poroid hidradenoma, of which DDT is the least common. Clinically, the variants have a nonspecific appearance and present as solitary dome-shaped papules, plaques, or nodules. They can be indistinguishable from each other and a multitude of differential diagnoses, necessitating a better understanding of the characteristics that make the diagnosis of poroid neoplasms. However, there remains a paucity of information on these lesions, especially DDTs, given their infrequent occurrence. Herein, we review the literature on DDTs with an emphasis on epidemiology, pathogenesis, clinical features, diagnosis, and management.
Collapse
|
2
|
BARISANI A, CHESSA MA, PATRIZI A, SAVOIA F, DIKA E, VACCARI S. The variegated dermoscopic features of pigmented eccrine poroma: a single institution experience. Ital J Dermatol Venerol 2022; 156:36-37. [DOI: 10.23736/s2784-8671.19.06300-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
3
|
Chessa MA, Patrizi A, Baraldi C, Fanti PA, Barisani A, Vaccari S. Dermoscopic-Histopathological Correlation of Eccrine Poroma: An Observational Study. Dermatol Pract Concept 2019; 9:283-291. [PMID: 31723462 DOI: 10.5826/dpc.0904a07] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2019] [Indexed: 12/19/2022] Open
Abstract
Background Eccrine poroma (EP) is a benign adnexal neoplasm that can be pigmented in 17% of cases. Four histopathological variants of EP exist. Dermoscopically, EP can mimic many other skin neoplasms. Objectives To provide a dermoscopic-histopathological correlation of EP, classifying the clinical and dermoscopic features of EPs on the basis of their histopathological subtype, in an attempt to better characterize these entities. Patients and Methods A single-center retrospective study was conducted. Clinical data were collected; patients were classified on the basis of the 4 histopathological variants of EPs. Dermoscopic images were reviewed. A dermoscopic-histopathological correlation was performed, and the results were compared with literature data. Results Twenty-six lesions were included, both pigmented and nonpigmented. Three of the 4 histopathological variants were identified. Different dermoscopic features were observed for each distinct histopathological subtype of EP. The lesions mimicked different types of other skin neoplasms, in particular: nonpigmented hidroacanthoma simplex resembled nonmelanoma skin cancer; pigmented hidroacanthoma simplex appeared like a seborrheic keratosis or a solar lentigo; EPs sensu stricto presented as pink nodules if nonpigmented and were similar to seborrheic keratosis if pigmented; dermal duct tumors appeared as pigmented nodular lesions. Conclusions Distinct dermoscopic features appeared to be recurrent in each histopathological variant. Dermoscopy can provide important clues for the diagnosis of EP; the final diagnosis is allowed by histopathology. To achieve a correct diagnosis of EP, because of its clinical and dermoscopic variability, surgical excision is recommended.
Collapse
Affiliation(s)
- Marco A Chessa
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Annalisa Patrizi
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Carlotta Baraldi
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Pier Alessandro Fanti
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Alessia Barisani
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Sabina Vaccari
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| |
Collapse
|
4
|
Lakhmiri M, Znati K, Meziane M, Hassam B, Senouci K. [Pigmented eccrine poroma on the back]. Ann Dermatol Venereol 2019; 146:592-593. [PMID: 30910337 DOI: 10.1016/j.annder.2019.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 01/15/2019] [Accepted: 02/01/2019] [Indexed: 11/15/2022]
Affiliation(s)
- M Lakhmiri
- Service de dermatologie, hôpital Ibn Sina, Rabat, Maroc.
| | - K Znati
- Service d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
| | - M Meziane
- Service de dermatologie, hôpital Ibn Sina, Rabat, Maroc
| | - B Hassam
- Service de dermatologie, hôpital Ibn Sina, Rabat, Maroc
| | - K Senouci
- Service de dermatologie, hôpital Ibn Sina, Rabat, Maroc
| |
Collapse
|
5
|
Conforti C, Giuffrida R, Seabra Resende FS, Amaro Pereira A, Cerroni L, Zalaudek I, Hofmann-Wellenhof R. Dermoscopic features of nonpigmented eccrine poroma. Clin Exp Dermatol 2019; 44:937-938. [PMID: 30677158 DOI: 10.1111/ced.13913] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2018] [Indexed: 11/29/2022]
Affiliation(s)
- C Conforti
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Trieste, Italy
| | - R Giuffrida
- Department of Clinical and Experimental Medicine, Section of Dermatology, University of Messina, Messina, Italy
| | - F S Seabra Resende
- Dermatology and Venereology Department, University of Graz, Graz, Austria
| | - A Amaro Pereira
- Anatomic Pathology Unit, University Hospital Polydoro Ernani de São Thiago, Santa Catarina Federal University, Florianópolis, Brazil
| | - L Cerroni
- Research Unit Dermatopathology, Department of Dermatology, Medical University of Graz, Graz, Austria
| | - I Zalaudek
- Dermatology Clinic, Hospital Maggiore, University of Trieste, Trieste, Italy
| | | |
Collapse
|
6
|
Abstract
Cutaneous adnexal tumors include lesions with apocrine, eccrine, follicular, sebaceous, and mixed differentiation. Most are benign and sporadic, although malignant forms are occasionally observed and some cases develop in the setting of inherited syndromes. These tumors often cause immense diagnostic difficulty. Dermoscopy is a noninvasive technique that has greatly improved the diagnostic accuracy of different skin lesions, including these tumors. We provide a review of the literature on the dermoscopic structures and patterns associated with adnexal tumors. Most patterns associated with this kind of tumor are nonspecific and are observed in other nonadnexal tumors, especially in basal cell carcinomas.
Collapse
Affiliation(s)
- Pedro Zaballos
- Dermatology Department, Hospital Sant Pau i Santa Tecla, C/ Joan Fuster s/n, 43007 Tarragona, Spain.
| | - Ignacio Gómez-Martín
- Dermatology Department, Hospital Sant Pau i Santa Tecla, C/ Joan Fuster s/n, 43007 Tarragona, Spain
| | - José María Martin
- Dermatology Department, Hospital Clínico Universitario, Avenida Blasco Ibáñez 17, 46010 Valencia, Spain
| | - José Bañuls
- Dermatology Department, Hospital General Universitario de Alicante, ISABIAL, C/Maestro Alonso 109, 03010 Alicante, Spain
| |
Collapse
|
7
|
Marchetti MA, Marino ML, Virmani P, Dusza SW, Marghoob AA, Nazzaro G, Lallas A, Landi C, Cabo H, Quiñones R, Gomez E, Puig S, Carrera C. Dermoscopic features and patterns of poromas: a multicentre observational case-control study conducted by the International Dermoscopy Society. J Eur Acad Dermatol Venereol 2017; 32:1263-1271. [PMID: 29194789 DOI: 10.1111/jdv.14729] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 11/09/2017] [Indexed: 12/20/2022]
Abstract
BACKGROUND Poromas are benign cutaneous sweat gland tumours that are challenging to identify. The dermoscopic features of poromas are not well characterized. OBJECTIVE To determine the clinical-dermoscopic features of poromas. METHODS Cross-sectional, observational study of 113 poromas and 106 matched control lesions from 16 contributors and eight countries. Blinded reviewers evaluated the clinical and dermoscopic features present in each clinical and dermoscopic image. RESULTS Poromas were most commonly non-pigmented (85.8%), papules (35.4%) and located on non-acral sites (65.5%). In multivariate analysis, dermoscopic features associated with poroma included white interlacing areas around vessels (OR: 7.9, 95% CI: 1.9-32.5, P = 0.004), yellow structureless areas (OR: 2.5, 95% CI: 1.1-6.0, P = 0.04), milky-red globules (OR: 3.9, 95% CI: 1.4-11.1, P = 0.01) and poorly visualized vessels (OR: 33.3, 95% CI: 1.9-586.5, P = 0.02). The presence of branched vessels with rounded endings was positively associated with poromas but did not reach statistical significance (OR: 2.4, 95% CI: 0.8-6.5, P = 0.10). The presence of any of these five features was associated with a sensitivity and specificity of 62.8% and 82.0%, respectively. CONCLUSION We identified dermoscopic features that are specific to the diagnosis of poroma. Overall, however, the prevalence of these features was low. Significant clinical and dermoscopic variability is a hallmark of these uncommon tumours, which are most prevalent on non-acral sites.
Collapse
Affiliation(s)
- M A Marchetti
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - M L Marino
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - P Virmani
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - S W Dusza
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - A A Marghoob
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - G Nazzaro
- Department of Physiopathology and Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - A Lallas
- First Department of Dermatology, Aristotle University, Thessaloniki, Greece
| | - C Landi
- Dermatologic Unit, Surgical Department, "Infermi" Hospital, Rimini, Italy
| | - H Cabo
- Dermatology Section, Medical Research Institute, University of Buenos Aires, Buenos Aires, Argentina
| | - R Quiñones
- Instituto Dermatologico de Jalisco, Guadalajara, Jal, Mexico
| | - E Gomez
- Dermatology Center "Dr Ladislao de la Pascua", Mexico City, Mexico
| | - S Puig
- Melanoma Unit, Department of Dermatology, Hospital Clinic Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), University of Barcelona, Barcelona, Spain
| | - C Carrera
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.,Melanoma Unit, Department of Dermatology, Hospital Clinic Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), University of Barcelona, Barcelona, Spain
| |
Collapse
|
8
|
Affiliation(s)
- Zachary Wolner
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Melissa P Pulitzer
- Dermatopathology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| | - Michael A Marchetti
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
| |
Collapse
|
9
|
Edamitsu T, Minagawa A, Koga H, Uhara H, Okuyama R. Eccrine porocarcinoma shares dermoscopic characteristics with eccrine poroma: A report of three cases and review of the published work. J Dermatol 2015; 43:332-5. [DOI: 10.1111/1346-8138.13082] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Accepted: 07/15/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Tomohiro Edamitsu
- Department of Dermatology; Shinshu University School of Medicine; Matsumoto Japan
| | - Akane Minagawa
- Department of Dermatology; Shinshu University School of Medicine; Matsumoto Japan
| | - Hiroshi Koga
- Department of Dermatology; Shinshu University School of Medicine; Matsumoto Japan
| | - Hisashi Uhara
- Department of Dermatology; Shinshu University School of Medicine; Matsumoto Japan
| | - Ryuhei Okuyama
- Department of Dermatology; Shinshu University School of Medicine; Matsumoto Japan
| |
Collapse
|
10
|
Lallas A, Chellini P, Guimarães M, Cordeiro N, Apalla Z, Longo C, Moscarella E, Alfano R, Argenziano G. Eccrine poroma: the great dermoscopic imitator. J Eur Acad Dermatol Venereol 2015; 30:e61-e63. [DOI: 10.1111/jdv.13302] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A. Lallas
- Skin Cancer Unit; Arcispedale Santa Maria Nuova IRCCS; Reggio Emilia Italy
| | - P.R. Chellini
- Instituto de Dermatologia Professor Rubem David Azulay; Santa Casa da Misericórdia do Rio de Janeiro; Rio de Janeiro Brazil
| | - M.G. Guimarães
- Instituto de Dermatologia Professor Rubem David Azulay; Santa Casa da Misericórdia do Rio de Janeiro; Rio de Janeiro Brazil
| | - N. Cordeiro
- Instituto de Dermatologia Professor Rubem David Azulay; Santa Casa da Misericórdia do Rio de Janeiro; Rio de Janeiro Brazil
| | - Z. Apalla
- First Department of Dermatology; Aristotle University; Thessaloniki Greece
| | - C. Longo
- Skin Cancer Unit; Arcispedale Santa Maria Nuova IRCCS; Reggio Emilia Italy
| | - E. Moscarella
- Skin Cancer Unit; Arcispedale Santa Maria Nuova IRCCS; Reggio Emilia Italy
| | - R. Alfano
- Department of Anesthesiology, Surgery and Emergency; Second University of Naples; Naples Italy
| | - G. Argenziano
- Dermatology Unit; Second University of Naples; Naples Italy
| |
Collapse
|
11
|
Ito T, Yoshida Y, Furue M, Yamamoto O. Poroma with sebaceous differentiation: dermoscopy for the diagnosis of skin tumor with sebaceous differentiation. Indian J Dermatol 2015; 60:85-7. [PMID: 25657405 PMCID: PMC4318071 DOI: 10.4103/0019-5154.147807] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Although divergent adnexal differentiations are occasionally seen in poroma, poroma with sebaceous differentiation is extremely rare. We present here the second case of dermoscopy on poroma with sebaceous differentiation. A 38-year-old Japanese female presented with a 2-year history of a slow-growing nodule on her left forearm. Dermoscopically, fine hairpin-like vessels, beige lobular structures were seen in the nodule. Many small yellow dots were scattered between beige lobular structures, giving orange-beige in color as a whole. On the basis of histopathologic findings, a diagnosis of poroma with sebaceous differentiation was made. Some sebaceous tumors are known to exhibit yellowish structures on dermoscopy. Tumors with sebaceous differentiation, as well as conventional sebaceous tumors, can show yellow structures on dermoscopy.
Collapse
Affiliation(s)
- Takamichi Ito
- Department of Medicine of Sensory and Motor Organs, Division of Dermatology, Faculty of Medicine, Tottori University, Tottori, Japan ; Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Yuichi Yoshida
- Department of Medicine of Sensory and Motor Organs, Division of Dermatology, Faculty of Medicine, Tottori University, Tottori, Japan
| | - Masutaka Furue
- Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
| | - Osamu Yamamoto
- Department of Medicine of Sensory and Motor Organs, Division of Dermatology, Faculty of Medicine, Tottori University, Tottori, Japan
| |
Collapse
|
12
|
Abstract
Poroma is a benign adnexal neoplasm of the terminal sweat gland duct. Although poromas have traditionally been thought to originate from the eccrine sweat gland, there have been cases of apocrine etiology as well. Eccrine and apocrine poromas typically present as erythematous or flesh-colored nodules on the palms and soles. As these features overlap with a multitude of differential diagnoses, it is imperative to have a firm understanding of the characteristics that make the diagnosis of poroma. In addition, the malignant counterpart to the poroma, the eccrine porocarcinoma, manifests in a similar nonspecific fashion. Case studies and literature reviews have contributed immensely to our present knowledge of poroma and porocarcinoma. Given the rarity of these neoplasms, however, there remains a relative paucity of information on atypical presentations and rates of malignant transformation. In this article, the epidemiology, clinical presentation, diagnosis, and management of poroma and porocarcinoma will be reviewed. This systematic approach may serve as a guide in navigating the diagnostic dilemma of these rare cutaneous lesions.
Collapse
|
13
|
Oiso N, Matsuda H, Kawada A. Biopsy-proven pigmented poroma with no vascular structure in dermoscopy. Int J Dermatol 2014; 53:e334-5. [DOI: 10.1111/ijd.12209] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Naoki Oiso
- Department of Dermatology; Kinki University Faculty of Medicine; Osaka-Sayama Japan
| | - Hiromasa Matsuda
- Department of Dermatology; Kinki University Faculty of Medicine; Osaka-Sayama Japan
| | - Akira Kawada
- Department of Dermatology; Kinki University Faculty of Medicine; Osaka-Sayama Japan
| |
Collapse
|
14
|
Kassuga LEBP, Jeunon T, Sousa MAJ, Campos-do-Carmo G. Pigmented poroma with unusual location and dermatoscopic features. Dermatol Pract Concept 2013; 2:203a07. [PMID: 23785609 PMCID: PMC3663355 DOI: 10.5826/dpc.0203a07] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2012] [Accepted: 03/31/2012] [Indexed: 12/03/2022] Open
Abstract
Poroma is a benign adnexal neoplasm with atn “poroid”/ductal differentiation that mimics benign and malignant skin tumors. Histopathology shows circumscribed proliferation of poroid cells intermingled with a variable number of cuticular cells. We report a case of pigmented poroma located on the face that simulated clinically and dermatoscopically a pigmented basal cell carcinoma. The features of pigmented and non-pigmented poromas were revisited in order to assist in the diagnosis.
Collapse
|
15
|
Espinosa AED, Ortega BC, Venegas RQ, Ramírez RG. Dermoscopy of non-pigmented eccrine poromas: study of Mexican cases. Dermatol Pract Concept 2013; 3:25-8. [PMID: 23785633 PMCID: PMC3663389 DOI: 10.5826/dpc.0301a07] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2012] [Accepted: 11/08/2012] [Indexed: 12/02/2022] Open
Abstract
Background: Eccrine poroma is a benign neoplasm that can mimick a malignant neoplasm dermoscopically. The characteristic vascular pattern of this tumor has not been established. Objective: To evaluate dermoscopic features of non-pigmented eccrine poroma in Mexican patients. Method: We retrospectively studied histologically proven cases of eccrine poroma from three Mexican hospitals analyzed by four dermoscopists. Results: Thirteen cases were studied. A polymorphous vascular pattern was found in most cases. Four presented with irregular linear and branched vessels with semi-elliptical, or semicircular endings (“chalice-form” and “cherry-blossoms” vessels). Structureless pink-white areas were the most common other dermoscopic finding. Conclusions: “Chalice-form” and “cherry-blossom” vessels have not been reported in other benign or malignant neoplasms and can be a useful clue to the diagnosis of non-pigmented eccrine poroma. Due to the variability of dermoscopic patterns of eccrine poroma further studies are required to establish the specificity of our findings.
Collapse
Affiliation(s)
- Ana Elena Domínguez Espinosa
- Hospital General de Zona 8, Gilberto Flores Izquierdo, Instituto Mexicano del Seguro Social, Mexico City, Mexico
| | | | | | | |
Collapse
|
16
|
Shalom A, Schein O, Landi C, Marghoob A, Carlos B, Scope A. Dermoscopic Findings in Biopsy-Proven Poromas. Dermatol Surg 2012; 38:1091-1096. [DOI: 10.1111/j.1524-4725.2012.02407.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023]
|
17
|
Minagawa A, Koga H, Takahashi M, Sano K, Okuyama R. Dermoscopic features of nonpigmented eccrine poromas in association with their histopathological features. Br J Dermatol 2010; 163:1264-8. [DOI: 10.1111/j.1365-2133.2010.10017.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|