SAGE Open Medical Case Reports (May 2024)

An unusual case of eccrine porocarcinoma on the axilla with nodal involvement: A case report

  • Sabita Maharjan,
  • Oshan Shrestha,
  • Reetu Baral,
  • Amit Bhattarai

DOI
https://doi.org/10.1177/2050313X241256868
Journal volume & issue
Vol. 12

Abstract

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Ecrrine porocarcinoma, a rare aggressive skin tumor, develops from sweat glands located in lower limbs, followed by the head and neck, trunk, and upper limbs. The incidence represents only about 0.005% of all cutaneous malignant tumors. The most common site is the lower extremities in elderly patients. As it has a high chance of metastases and recurrence after surgery, mainstay of treatment modality is wide local excision or Mohs (micrographically oriented histographic surgery) micrographic surgery. Mohs micrographic surgery (MMS) is a more effective treatment modality for tumors located in cosmetically and functionally important areas of the head and neck. We present a 56-years-old male patient with a large fungating eccrine tumor on the left axilla with ipsilateral nodal involvement on histomorphological grounds supported with immunohistochemical studies.