Wollina Uwe, Hansel Gesina, Schönlebe Jacqueline, Temelkova Ivanka, Tchernev Georgi, Vojvodic Aleksandra, Lotti Torello, Tirant Michael
Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.
Institute of Pathology "Georg Schmorl", Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.
Open Access Maced J Med Sci. 2019 May 31;7(18):2988-2990. doi: 10.3889/oamjms.2019.464. eCollection 2019 Sep 30.
Eccrine poroma is a benign tumour of eccrine duct epithelium. The usual clinical presentation is nodular.
We present a 78-year-old man with a painful pendulating flesh-coloured malodorous plantar tumour. Differential diagnoses included telangiectatic granuloma, acrochordon, basal cell or squamous cell carcinoma, cylindroma, amelanotic melanoma, and verruca. Microbiological investigations identified numerous bacteria including Corynebacterium striatum, Streptococcus dysgalactiae, Staphylococcus aureus, Citrobacter koseri. We performed surgery since the tumour hampered his mobility. Histopathology revealed a well-circumscribed tumour composed of cuboidal cells with eosinophilic cytoplasm. Healing was unremarkable.
Pendulating plantar eccrine poroma is a rare clinical presentation of this benign adnexal tumour. Often asymptomatic, in some cases the tumour may become painful. Because of the bacterial colonisation, it could lead to deep soft tissue infections. Malignant transformation is possible. Surgical removal is the treatment of choice.
小汗腺汗孔瘤是一种小汗腺导管上皮的良性肿瘤。其常见临床表现为结节状。
我们报告一例78岁男性，患有一个疼痛性、可摆动的、肉色、有异味的足底肿瘤。鉴别诊断包括毛细血管扩张性肉芽肿、皮赘、基底细胞癌或鳞状细胞癌、圆柱瘤、无色素性黑素瘤和疣。微生物学检查发现多种细菌，包括纹带棒状杆菌、乳房链球菌、金黄色葡萄球菌、科氏柠檬酸杆菌。由于肿瘤妨碍了他的活动，我们进行了手术。组织病理学显示肿瘤边界清晰，由具有嗜酸性细胞质的立方细胞组成。愈合情况良好。
可摆动的足底小汗腺汗孔瘤是这种良性附属器肿瘤的一种罕见临床表现。通常无症状，在某些情况下肿瘤可能会疼痛。由于细菌定植，可能导致深部软组织感染。有可能发生恶性转化。手术切除是首选治疗方法。
