Eccrine Porocarcinoma of the face is a great imitator with aggressive behavior

Introduction: Eccrine porocarcinoma (EPC) is a rare subtype of non-melanoma skin cancer developing in the intraepithelial portion of eccrine sweat glands. It is branded with a highly metastatic potential and increased rate of local recurrence after treatment. EPC showcased a trend of developing on...

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Main Authors: Konstantinos Seretis, Nikolaos Bounas, Evangeli Lampri, Efstathios Lykoudis
Format: Article
Language:English
Published: Mattioli1885 2022-05-01
Series:Dermatology Practical & Conceptual
Subjects:
Online Access:https://dpcj.org/index.php/dpc/article/view/1966
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author Konstantinos Seretis
Nikolaos Bounas
Evangeli Lampri
Efstathios Lykoudis
author_facet Konstantinos Seretis
Nikolaos Bounas
Evangeli Lampri
Efstathios Lykoudis
author_sort Konstantinos Seretis
collection DOAJ
description Introduction: Eccrine porocarcinoma (EPC) is a rare subtype of non-melanoma skin cancer developing in the intraepithelial portion of eccrine sweat glands. It is branded with a highly metastatic potential and increased rate of local recurrence after treatment. EPC showcased a trend of developing on the extremities, with presentation on the face sparse. Objectives: Aim of the study was to evaluate the frequency, clinical features, and course of this malignancy presented on the face. Methods: A retrospective review of the skin cancers excised between January 2010 and June 2021 was conducted in the plastic surgery department of a tertiary hospital. Patients were included in the study if EPC on the face was histologically confirmed. A prospectively maintained clinic database and the pathological reports were used to collect data. Results: 4 EPC cases on the face out of 3984 confirmed skin cancers were identified. None of the cases was suspected clinically, but the diagnosis was established following the histopathologic examination. An aggressive postoperative behavior was confirmed in two cases. Conclusions: The variance in the clinical presentation and the non-specific characteristics are perplexing clinical diagnosis, with the histopathologic examination representing the current standard for confirmation. Early diagnosis and adequate surgical resection are recommended as treatment cornerstones. Clinical awareness ought to be raised and a definitive treatment protocol be established for optimized results.
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spelling doaj.art-8442fa76c3db4672973df228691172162022-12-22T00:47:28ZengMattioli1885Dermatology Practical & Conceptual2160-93812022-05-0112210.5826/dpc.1202a85Eccrine Porocarcinoma of the face is a great imitator with aggressive behaviorKonstantinos Seretis0Nikolaos Bounas1Evangeli Lampri2Efstathios Lykoudis3Department of Plastic Surgery, Medical School, University of Ioannina, Greece.Department of Plastic Surgery, Medical School, University of Ioannina, Greece.Pathology Department, Medical School, University of Ioannina, Greece.Department of Plastic Surgery, Medical School, University of Ioannina, Greece. Introduction: Eccrine porocarcinoma (EPC) is a rare subtype of non-melanoma skin cancer developing in the intraepithelial portion of eccrine sweat glands. It is branded with a highly metastatic potential and increased rate of local recurrence after treatment. EPC showcased a trend of developing on the extremities, with presentation on the face sparse. Objectives: Aim of the study was to evaluate the frequency, clinical features, and course of this malignancy presented on the face. Methods: A retrospective review of the skin cancers excised between January 2010 and June 2021 was conducted in the plastic surgery department of a tertiary hospital. Patients were included in the study if EPC on the face was histologically confirmed. A prospectively maintained clinic database and the pathological reports were used to collect data. Results: 4 EPC cases on the face out of 3984 confirmed skin cancers were identified. None of the cases was suspected clinically, but the diagnosis was established following the histopathologic examination. An aggressive postoperative behavior was confirmed in two cases. Conclusions: The variance in the clinical presentation and the non-specific characteristics are perplexing clinical diagnosis, with the histopathologic examination representing the current standard for confirmation. Early diagnosis and adequate surgical resection are recommended as treatment cornerstones. Clinical awareness ought to be raised and a definitive treatment protocol be established for optimized results. https://dpcj.org/index.php/dpc/article/view/1966eccrine porocarcinomaskin cancerfacesweat gland
spellingShingle Konstantinos Seretis
Nikolaos Bounas
Evangeli Lampri
Efstathios Lykoudis
Eccrine Porocarcinoma of the face is a great imitator with aggressive behavior
Dermatology Practical & Conceptual
eccrine porocarcinoma
skin cancer
face
sweat gland
title Eccrine Porocarcinoma of the face is a great imitator with aggressive behavior
title_full Eccrine Porocarcinoma of the face is a great imitator with aggressive behavior
title_fullStr Eccrine Porocarcinoma of the face is a great imitator with aggressive behavior
title_full_unstemmed Eccrine Porocarcinoma of the face is a great imitator with aggressive behavior
title_short Eccrine Porocarcinoma of the face is a great imitator with aggressive behavior
title_sort eccrine porocarcinoma of the face is a great imitator with aggressive behavior
topic eccrine porocarcinoma
skin cancer
face
sweat gland
url https://dpcj.org/index.php/dpc/article/view/1966
work_keys_str_mv AT konstantinosseretis eccrineporocarcinomaofthefaceisagreatimitatorwithaggressivebehavior
AT nikolaosbounas eccrineporocarcinomaofthefaceisagreatimitatorwithaggressivebehavior
AT evangelilampri eccrineporocarcinomaofthefaceisagreatimitatorwithaggressivebehavior
AT efstathioslykoudis eccrineporocarcinomaofthefaceisagreatimitatorwithaggressivebehavior