Benign eccrine poroma of neck: an unusual presentation

Authors

  • Manish Munjal Department of ENT and Head and Neck surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab
  • Archana Arora Department of ENT and Head and Neck surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab
  • Gopika Talwar Department of ENT and Head and Neck surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab
  • Neena Sood Department of Pathology, Dayanand Medical College and Hospital, Ludhiana, Punjab

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20171211

Keywords:

Adnexal neoplasm, Eccrine poroma

Abstract

Poroma refers to benign adnexal neoplasm derived from the terminal portion of the duct of sweat gland. About two-thirds are seen in middle aged and the elderly. The plantar surface or sides of feet followed by hands and fingers, and rarely the face or neck are the sites of predilection. This study included case report of 36 year old male presented with a lower midline neck swelling, insidious in onset and gradually progressive. On examination: swelling was about 2×2 cm, doughy in consistency, non-tender and freely mobile over the underlying muscles. Ultrasonography neck showed a hyperintense adnexal soft tissue with no fixity to the underlying structures. Surgical intervention via an elliptical incision was undertaken. Skin and subcutaneous tissue separated and underlying swelling identified to be attaching superficially. It was removed in toto and base was cauterized and transfixed. Postoperative period was uneventful. No recurrence recorded till 6 months. Histopathological examination was consistent with benign adnexal tumor eccrine poroma. Meticulous evaluation of the individual presenting with poroma is undertaken to reach the correct diagnosis. Existing literature suggests the treatment of eccrine and apocrine poromas consists of simple excision. If the lesion recurs after excision or presents with ulceration, bleeding, pain, or accelerated growth, a suspicion of eccrine “porocarcinoma” should be considered and the lesion investigated accordingly. 

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Author Biographies

Manish Munjal, Department of ENT and Head and Neck surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab

Professor and Head, Deptt of ENTHNS

Archana Arora, Department of ENT and Head and Neck surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab

Senior Resident, Deptt of ENT and Head and Neck surgery;

Gopika Talwar, Department of ENT and Head and Neck surgery, Dayanand Medical College and Hospital, Ludhiana, Punjab

Junior resident,  Deptt of ENT and Head and Neck surgery

Neena Sood, Department of Pathology, Dayanand Medical College and Hospital, Ludhiana, Punjab

Professor and Head, Deptt of Pathology

References

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Published

2017-03-25

How to Cite

Munjal, M., Arora, A., Talwar, G., & Sood, N. (2017). Benign eccrine poroma of neck: an unusual presentation. International Journal of Otorhinolaryngology and Head and Neck Surgery, 3(2), 446–448. https://doi.org/10.18203/issn.2454-5929.ijohns20171211

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Section

Case Reports