Yazar Sevgi Kurt, Serin Merdan
Department of Plastic and Reconstructive Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Department of Plastic Surgery, İstanbul Training and Research Hospital, İstanbul, Turkey.
Sisli Etfal Hastan Tip Bul. 2019 Mar 25;53(1):33-36. doi: 10.14744/SEMB.2018.10170. eCollection 2019.
Malignant eccrine poroma is a rare cutaneous malignancy. This study was a review of a series of patients with malignant eccrine poroma who underwent surgical treatment conducted in order to evaluate the management techniques and outcomes of treatment modalities.
All cases of surgically excised malignant eccrine poroma performed in a single clinic between 2012 and 2018 were included in the study. The details of patient age, gender, anatomical location of the tumor, histopathological features, and treatment modalities were analyzed.
The average tumor size was 2.53 cm (range: 0.3-7 cm). The average tumor thickness was 3.06 mm (range: 2.5-4 mm). The mean clean tumor margin after the first excision was 1.28 mm and the mean tumor margin after the second excision was 8.83 mm. No recurrence or distant metastasis was detected in any of the patients during the follow-up period.
Unlike frequent skin cancers, rare skin cancers, like malignant eccrine poroma, don't have definite treatment algorithms constituted from randomized trials. The findings of patient series are very useful to guide physicians in these cases.
恶性小汗腺汗孔瘤是一种罕见的皮肤恶性肿瘤。本研究回顾了一系列接受手术治疗的恶性小汗腺汗孔瘤患者，以评估治疗方法的管理技术和治疗结果。
本研究纳入了2012年至2018年在单一诊所进行手术切除的所有恶性小汗腺汗孔瘤病例。分析了患者的年龄、性别、肿瘤的解剖位置、组织病理学特征和治疗方式等细节。
肿瘤平均大小为2.53厘米（范围：0.3 - 7厘米）。肿瘤平均厚度为3.06毫米（范围：2.5 - 4毫米）。首次切除后平均切缘净距为1.28毫米，二次切除后平均切缘净距为8.83毫米。随访期间未发现任何患者复发或远处转移。
与常见皮肤癌不同，像恶性小汗腺汗孔瘤这样的罕见皮肤癌没有由随机试验构成的明确治疗方案。患者系列研究结果对指导医生处理这些病例非常有用。
