Sentinel lymph node biopsy in porocarcinoma: A case reports. (2018)

• Record Type: Journal Article
• Authors: Reina, Simona; Palombo, Denise; Boscaneanu, Alexandru; Solari, Nicola; Bertoglio, Sergio; Valle, Luca; Cafiero, Ferdinando
• Is Part Of: International journal of surgery case reports. Volume 53(2018)
• Page Start: 196
• Page End: 199
• Publication Date: 2018
• Subjects: Porocarcinoma -- Malignant skin lesions -- Sentinel node biopsy -- Eccrine carcinomas; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2018.10.047
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Epidemiology of rare cutaneous tumor: EPC. Role of Surgery excision. Role of SNLB for staging and diagnosis in EPC. Abstract: Introduction: Eccrine porocarcinoma (EPC) is a slow-growing carcinoma arising from the eccrine sweat glands. Based on its clinical presentation it can be confused with malignant and benign skin lesions, both. Histological examination is essential to formulate a correct diagnosis. Surgical excision with clear margins is the standard therapeutic approach while the role of sentinel lymph node biopsy (SNLB) remains controversial. Case presentation: The Authors report two cases of EPC of the lower limbs occurred in two women. Patients were treated by wide surgical excision of the lesion and SNLB. 6 months follow-up was disease free for both patients. Conclusion: Although a rare cutaneous tumor, EPC has to be taken into account in the differential diagnosis of malignant skin lesions because of its possible loco-regional aggressiveness and related morbidity. Among the available treatment options, surgical excision is considered the standard approach whereas the role of SNLB is controversial although the Authors discuss a possible usefulness for staging and diagnosis.