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Rao EM, Knackstedt TJ. A systematic review of periungual eccrine neoplasms. Int J Dermatol 2021; 61:812-820. [PMID: 34494261 DOI: 10.1111/ijd.15893] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 07/13/2021] [Accepted: 08/17/2021] [Indexed: 11/28/2022]
Abstract
Eccrine tumors are a rare cutaneous adnexal neoplasm originating from the sweat glands. The periungual region represents an uncommon localization for these neoplasms. We analyzed all published demographic, clinical, and treatment data on periungual eccrine tumors. A systematic review following PRISMA guidelines was performed of articles published prior to March 2021. Articles were included in the review if a full-text English version was available. Of the surveyed literature, 27 full-text case reports were included in the final analysis. Benign eccrine poroma and porocarcinoma were the most common tumor subtypes (nine and eight cases, respectively). Males were only affected by poroma and porocarcinoma, while females were affected by all tumor subtypes. The first toe was the most common lower extremity affected. Misdiagnosis led to delayed treatment in 25% of cases. As such, while periungual eccrine neoplasms are rare diagnoses, the nonspecific presentations of these growths raise concerns about misdiagnosis and delayed treatment. Further research is needed related to sex-differences in the epidemiology of these growths and into the prevalence of the first toe as a location. These tumors should be considered in the differential diagnosis for nail unit afflictions.
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Affiliation(s)
- Elizabeth M Rao
- Department of Dermatology, MetroHealth System, Cleveland, OH, USA
| | - Thomas J Knackstedt
- Department of Dermatology, MetroHealth System, Cleveland, OH, USA.,School of Medicine, Case Western Reserve University, Cleveland, OH, USA
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Yorulmaz A, Aksoy GG, Ozhamam EU. A Growing Mass under the Nail: Subungual Eccrine Poroma. Skin Appendage Disord 2020; 6:254-257. [PMID: 32903899 DOI: 10.1159/000508668] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 05/13/2020] [Indexed: 12/25/2022] Open
Abstract
Eccrine poroma is a benign adnexal tumour, which originates from the acrosyringium of eccrine sweat glands. Eccrine poroma is an uncommon neoplasm, the typical clinical presentation of which is a solitary soft sessile reddish papule protruding from a cup-shaped shallow depression. Many challenges remain in the diagnosis of eccrine poroma because it does not always present with classical features and may mimic any other cutaneous benign and malignant lesions. Eccrine poromas may occur on any skin surface with sweat glands; on the other hand, the most common sites of involvement include the palms and soles, which are rich in eccrine sweat glands. Here, we present a case of subungual eccrine poroma, which is an extremely rare presentation of poromas. We also highlight dermoscopic features of eccrine poroma and review the available literature on the subject.
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Affiliation(s)
- Ahu Yorulmaz
- Department of Dermatology, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Gunes Gur Aksoy
- Department of Dermatology, Ankara Bilkent City Hospital, Ankara, Turkey
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Zahn J, Chan MP, Wang G, Patel RM, Andea AA, Bresler SC, Harms PW. Altered Rb, p16, and p53 expression is specific for porocarcinoma relative to poroma. J Cutan Pathol 2019; 46:659-664. [DOI: 10.1111/cup.13480] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Revised: 04/10/2019] [Accepted: 04/14/2019] [Indexed: 01/18/2023]
Affiliation(s)
- Joseph Zahn
- Department of PathologyMichigan Medicine Ann Arbor Michigan
| | - May P. Chan
- Department of PathologyMichigan Medicine Ann Arbor Michigan
- Department of DermatologyMichigan Medicine Ann Arbor Michigan
| | - Grace Wang
- Department of PathologyMichigan Medicine Ann Arbor Michigan
| | - Rajiv M. Patel
- Department of PathologyMichigan Medicine Ann Arbor Michigan
- Department of DermatologyMichigan Medicine Ann Arbor Michigan
| | - Aleodor A. Andea
- Department of PathologyMichigan Medicine Ann Arbor Michigan
- Department of DermatologyMichigan Medicine Ann Arbor Michigan
| | - Scott C. Bresler
- Department of PathologyMichigan Medicine Ann Arbor Michigan
- Department of DermatologyMichigan Medicine Ann Arbor Michigan
| | - Paul W. Harms
- Department of PathologyMichigan Medicine Ann Arbor Michigan
- Department of DermatologyMichigan Medicine Ann Arbor Michigan
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Initial Misidentification of Thumb Poroma by Shave Biopsy. J Hand Surg Am 2019; 44:252.e1-252.e4. [PMID: 30037763 DOI: 10.1016/j.jhsa.2018.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 04/26/2018] [Accepted: 06/12/2018] [Indexed: 02/02/2023]
Abstract
Poromas are benign adnexal neoplasms originating from the intraepidermal portion of sweat gland ducts. With the possibility of malignant transformation, accurate clinical diagnosis and treatment are crucial. Numerous reports of hand poroma lesions have been reported. We present an unusual case of a distal thumb poroma originally identified as a squamous cell lesion in a shave biopsy and eventually accurately identified after excisional biopsy. This report highlights the limitations of shave biopsy associated with soft tissue hand lesions and the need to consider poroma when evaluating a soft tissue lesion of the hand.
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Göktay F, Güneş P, Akpolat ND, Ferhatoğlu ZA, Önenerk M. Periungual Eccrine Poroma Masquerading as Ingrown Toenails A Case Report with Dermoscopic Findings. J Am Podiatr Med Assoc 2017; 107:551-555. [PMID: 29252016 DOI: 10.7547/16-127] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Eccrine poroma is a rare benign adnexal neoplasm originating from a portion of the intraepidermal eccrine sweat gland duct and the acrosyringium. Typically, the lesions are asymptomatic, slow-growing nodules, which may be found in any sweat gland-bearing area. Multiple red lacunae, glomerular vessels, hairpin vessels, flower- and leaf-like vascular patterns, a polymorphic vascular pattern, globule/lacunae-like structures, a frog egg-like appearance, and comedo-like openings have been defined as characteristic dermoscopic patterns of the disease. We report a case of eccrine poroma in an unusual periungual and subungual location mimicking ingrown toenails. The dermoscopic findings of the lesions were compatible with those of eccrine poromas located in areas other than the periungual area. Recurrence was observed after the first excisional biopsy. There was no recurrence 10 months after the second surgical intervention, and near-complete regrowth of the nail plate was achieved. Eccrine poroma should be considered as a differential diagnosis in the presence of slow-growing, erythematous, painful, hemorrhagic papular lesions located in the periungual area in conjunction with a prediagnosis of ingrown toenails and malignant processes.
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Affiliation(s)
- Fatih Göktay
- Department of Dermatology, Haydarpaşa Numune Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Pembegül Güneş
- Department of Pathology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey
| | | | - Zeynep Altan Ferhatoğlu
- Department of Dermatology, Haydarpaşa Numune Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
| | - Mine Önenerk
- Department of Pathology, University of Health Sciences, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey
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Jayasekera PSA, Charlton F, Oliphant TJ. An Unusual Periungual Lesion. Skin Appendage Disord 2017; 3:129-131. [PMID: 28879189 DOI: 10.1159/000462982] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Accepted: 02/10/2017] [Indexed: 12/13/2022] Open
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Baker BG, Joseph L, Mishra A. An adnexal tumour masquerading as a distal interphalangeal joint ganglion. J Hand Surg Eur Vol 2017; 42:204-205. [PMID: 26642849 DOI: 10.1177/1753193415620179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- B G Baker
- 1 Department of Burns & Plastic Surgery, University Hospital South Manchester, Wythenshawe, UK
| | - L Joseph
- 2 Department of Pathology, University Hospital South Manchester, Wythenshawe, UK
| | - A Mishra
- 1 Department of Burns & Plastic Surgery, University Hospital South Manchester, Wythenshawe, UK
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Longhurst WD, Khachemoune A. An unknown mass: the differential diagnosis of digit tumors. Int J Dermatol 2015; 54:1214-25. [DOI: 10.1111/ijd.12980] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2014] [Revised: 12/03/2014] [Accepted: 01/17/2015] [Indexed: 12/23/2022]
Affiliation(s)
- William D. Longhurst
- University Hospitals Case Medical Center; Case Western Reserve University; Cleveland OH USA
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Fierro-Arias L, Calderón L, Peniche-Castellanos A, Mercadillo-Pérez P. Periungual eccrine poroma. J Cutan Med Surg 2015; 19:84-6. [PMID: 25775671 DOI: 10.2310/7750.2014.14012] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Eccrine poroma is a rare, benign skin appendage tumor originating from the intraepidermal portion of the eccrine sweat duct, which typically occurs on the sides and soles of the feet. Nonetheless, eccrine poroma may be found in any skin area bearing sweat glands. OBJECTIVE Herein we report a case of an eccrine poroma in an unusual location, the surgical management of the condition, and follow-up processes.
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Affiliation(s)
- Leonel Fierro-Arias
- Dermatologic Surgery and Oncology Unit, Dermatology Service, and Dermatopathology Service, Hospital General de México, Mexico City, Mexico
| | - Luz Calderón
- Dermatologic Surgery and Oncology Unit, Dermatology Service, and Dermatopathology Service, Hospital General de México, Mexico City, Mexico
| | - Amelia Peniche-Castellanos
- Dermatologic Surgery and Oncology Unit, Dermatology Service, and Dermatopathology Service, Hospital General de México, Mexico City, Mexico
| | - Patricia Mercadillo-Pérez
- Dermatologic Surgery and Oncology Unit, Dermatology Service, and Dermatopathology Service, Hospital General de México, Mexico City, Mexico
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Noh S, Jin S, Lee N, Park CO, Chung KY, Lee KH. Eccrine poroma clinically mimicking ingrowing toenail complicated with granulation tissue. Ann Dermatol 2013; 25:247-8. [PMID: 23717023 PMCID: PMC3662925 DOI: 10.5021/ad.2013.25.2.247] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2012] [Revised: 07/24/2012] [Accepted: 07/28/2012] [Indexed: 12/01/2022] Open
Affiliation(s)
- Seongmin Noh
- Department of Dermatology, Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea
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