Division of Plastic Surgery, Department of Surgical Sciences, University of Parma, Parma, Italy.
Unit of Cutaneous, Regenerative, Mininvasive and Plastic Surgery, University Hospital of Parma, Parma, Italy.
G Ital Dermatol Venereol. 2020 Aug;155(4):500-504. doi: 10.23736/S0392-0488.17.05182-3.
Eccrine porocarcinoma is a rare skin cancer that originates from the acrosyringium of eccrine sweat glands. From the clinical point of view the differential diagnosis with other skin cancers such as basal cell carcinoma and squamous cell carcinoma it is often impossible, only the histopathologic features can lead to the definitive diagnosis. Eccrine porocarcinoma can arise from a previous poroma or de novo, it may recur after surgical excision and cause lymph node and visceral metastasis. There are no international guidelines for treatment or follow-up of patients. The aim of this work was to present a rare case of eccrine porocarcinoma of the scalp successfully treated in our clinic and to extrapolate from the international literature the main clinical and histopathological features of eccrine porocarcinoma and the various experiences regarding the types of treatment.
汗管癌是一种罕见的皮肤癌，起源于小汗腺的顶泌汗腺。从临床角度来看，与其他皮肤癌（如基底细胞癌和鳞状细胞癌）的鉴别诊断通常是不可能的，只有组织病理学特征才能导致明确的诊断。汗管癌可由先前的汗管瘤或从头发生，术后切除后可复发，并可引起淋巴结和内脏转移。目前尚没有针对患者治疗或随访的国际指南。本工作旨在介绍我们成功治疗的头皮汗管癌的罕见病例，并从国际文献中推断出汗管癌的主要临床和组织病理学特征以及各种治疗方法的经验。
