A rare case of recurrent eccrine poroma underlying gluteal abscess.

Int J Surg Case Rep

Department of Pharmacy Practice, Unaizah College of Pharmacy, Qassim University, Unaizah, Qassim, Saudi Arabia.

Published: September 2020

AI Article Synopsis

  • Eccrine poroma is a benign tumor that usually occurs on the hands and feet but is rarely found in the gluteal area, marking the first reported case of such a recurrence.
  • A 62-year-old woman developed a recurrent eccrine poroma in her buttocks after initial surgical removal, following mild trauma, which led to an abscess.
  • The rarity of eccrine poromas in unusual locations highlights the need for careful monitoring and treatment to differentiate them from potentially more serious conditions, emphasizing the importance of complete resection and follow-up.

Article Abstract

Introduction: Eccrine poroma is a benign adnexal neoplasm originating from epidermal sweat ducts mainly affecting the palmoplantar skin, buttock as a location of origin of poroma has rarely been reported, it is the first reported case of recurrent poroma in this site.

Presentation Of Case: We report an unusual case of eccrine poroma in the gluteal region of a 62 years old female associated with gluteal abscess, surgically excised with histologically clear margins, then recurred after one and half year with a given history of mild trauma.

Discussion: Given the uncommonness of these neoplasms, there stays a general lack of data on pathogenesis, atypical presentation, atypical sites, recurrence and risk of malignant transformation into porocarcinoma.

Conclusion: Gluteal skin is an unusual location for a benign poroma. Early recognition and appropriate treatment at the initial presentation by complete resection with histopathology confirmation and follow-up are crucial to ruling out other diagnoses, such as lesions of malignant transformation.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7490443PMC
http://dx.doi.org/10.1016/j.ijscr.2020.08.042DOI Listing

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