1
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Barei F, Belotti A, Bortoluzzi P, Mattioli MA, Passoni E, Marzano AV, Nazzaro G. Dermoscopic features of dermal duct tumors. Int J Dermatol 2024; 63:668-670. [PMID: 38329174 DOI: 10.1111/ijd.17070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Revised: 01/11/2024] [Accepted: 01/22/2024] [Indexed: 02/09/2024]
Affiliation(s)
- Francesca Barei
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Alessia Belotti
- Department of Pathology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Paolo Bortoluzzi
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Maria A Mattioli
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - Emanuela Passoni
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Angelo V Marzano
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - Gianluca Nazzaro
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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2
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Drozdowski R, Grant-Kels JM, Falcone M, Stewart CL. Adnexal neoplasms of the eye. Clin Dermatol 2024:S0738-081X(24)00004-X. [PMID: 38281687 DOI: 10.1016/j.clindermatol.2024.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2024]
Abstract
Adnexal neoplasms of the eyelid encompass a wide variety of benign and malignant tumors of sebaceous, follicular, and sweat gland origin. Due to the specialized structures of the eyelid, these neoplasms present differently when compared with those of other locations. Although most dermatologists and ophthalmologists are familiar with the commonly reported adnexal tumors of the eyelid, such as hidrocystoma, pilomatrixoma, and sebaceous carcinoma, many other adnexal neoplasms have been reported at this unique anatomic site. Accurate and timely identification of these neoplasms is essential, as alterations of eyelid anatomy and function can have a negative impact on eye health, vision, and quality of life. We review the clinical and histopathologic features of common and rare eyelid adnexal neoplasms and discuss proposed treatment options.
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Affiliation(s)
- Roman Drozdowski
- Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA
| | - Jane M Grant-Kels
- Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA; Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Madina Falcone
- Division of Ophthalmology, Department of Surgery, University of Connecticut School of Medicine, Farmington, Connecticut, USA
| | - Campbell L Stewart
- Department of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
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3
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Venturi F, Cedirian S, Mussi M, Alessandrini A, Dika E. Reflectance Confocal Microscopy Combined with Dermoscopy and Histology in the Diagnostic Setting of Pigmented Eccrine Poroma: A Retrospective Study. Dermatol Pract Concept 2024; 14:dpc.1401a88. [PMID: 38364398 PMCID: PMC10868961 DOI: 10.5826/dpc.1401a88] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2023] [Indexed: 02/18/2024] Open
Abstract
INTRODUCTION Pigmented eccrine poroma (PEP) is a unique variant of a benign adnexal tumor known as eccrine poroma. Distinguishing PEPs from other pigmented lesions can be challenging due to overlapping clinical and dermoscopic features. OBJECTIVES To provide a comprehensive analysis of the dermoscopic, confocal (RCM), and histological features of PEPs. METHODS We undertook a retrospective study of the clinical, dermoscopic, RCM and histopathological features of PEPs that were surgically excised and histopathologically recognized. Data on epidemiological, clinical, dermoscopic, RCM and histopathological features were collected from the databases of the Skin Cancer Unit, IRCCS Policlinico di Sant' Orsola, between January 2021 and May 2023. RESULTS The study population consisted of 61 patients, including 34 females (55.7%) and 27 males (44.3%). Dermoscopic examination of 61 PEPs revealed the presence of irregular borders (55.7%), milia-like cysts (50.8%), brown pseudo-network (41%), cerebriform pattern (34.4%), comedo-like openings (29.5%), atypical vessels (26.2%), glomerular vessels (18%), fingerprint-like perifollicular structures (8.2%), dots (4.9%) and dotted vessels (4.9%). RCM imaging was collected from 11 cases and showed mostly well-defined tumor nests with small cells in 100% of cases, bright structures in the upper dermis representing melanocytes and melanophages (63.6%), dark round spaces within the tumor nests (54.5%), well-demarcated borders of the nest (45.5%) and dilated and prominent vessels in upper dermis (27.3%). Histopathological pattern analysis revealed PEP sensu stricto (PEPss) as the most frequent (54.1%). CONCLUSIONS The distinctive dermoscopic patterns, along with the confocal features aid in the differentiation from other pigmented lesions.
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Affiliation(s)
- Federico Venturi
- Oncologic Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
- Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Stephano Cedirian
- Oncologic Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
- Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Martina Mussi
- Oncologic Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
- Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Aurora Alessandrini
- Oncologic Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
- Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum University of Bologna, Bologna, Italy
| | - Emi Dika
- Oncologic Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
- Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum University of Bologna, Bologna, Italy
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4
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Hidalgo L, Hanlon KL, Correa-Selm L, Villaseca MA, Carrasco K, Peirano D, Donoso F, Uribe P, Navarrete-Dechent C. Three-dimensional reconstruction of eccrine poroma vessels seen under reflectance confocal microscopy. Exp Dermatol 2023; 32:2040-2042. [PMID: 37750378 DOI: 10.1111/exd.14936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 08/29/2023] [Accepted: 09/01/2023] [Indexed: 09/27/2023]
Affiliation(s)
- Leonel Hidalgo
- Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Katharine L Hanlon
- Department of Dermatology and Cutaneous Surgery, Morsani School of Medicine, University of South Florida, Tampa, Florida, USA
- Moffitt Cancer Center, Tampa, Florida, USA
| | - Lilia Correa-Selm
- Department of Dermatology and Cutaneous Surgery, Morsani School of Medicine, University of South Florida, Tampa, Florida, USA
- Moffitt Cancer Center, Tampa, Florida, USA
| | - Miguel A Villaseca
- Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
- Department of Pathology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
- Department of Pathology, Faculty of Medicine, Universidad de la Frontera, Temuco, Chile
- Melanoma and Skin Cancer Unit, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Karina Carrasco
- Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Dominga Peirano
- Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Francisca Donoso
- Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Pablo Uribe
- Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
- Melanoma and Skin Cancer Unit, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Cristian Navarrete-Dechent
- Department of Dermatology, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
- Department of Pathology, Faculty of Medicine, Universidad de la Frontera, Temuco, Chile
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5
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Cavallo F, Mazzoletti V, Zelin E, Avallone G, Roccuzzo G, Bottomicca F, Quaglino P, Zalaudek I, Ribero S. 'Poroma-like' branched vessels with rounded endings in dermoscopy of basal cell carcinoma: a new unusual structure. Clin Exp Dermatol 2023; 48:1177-1179. [PMID: 37401454 DOI: 10.1093/ced/llad225] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 06/19/2023] [Indexed: 07/05/2023]
Abstract
We report the cases of three patients with basal cell carcinoma that showed branched vessels with rounded endings, a vascular pattern never described in basal cell carcinoma and previously associated with eccrine poroma. We also speculate about the meaning of this pattern and underline the importance of this atypical vascular presentation in the differential diagnosis of malignant melanoma.
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Affiliation(s)
- Francesco Cavallo
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Vanessa Mazzoletti
- Department of Health Science, University of Eastern Piedmont, Novara, Italy
| | - Enrico Zelin
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Gianluca Avallone
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Gabriele Roccuzzo
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | | | - Pietro Quaglino
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Iris Zalaudek
- Dermatology Clinic of Trieste, Maggiore Hospital, University of Trieste, Trieste, Italy
| | - Simone Ribero
- Section of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy
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6
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Kyrmanidou E, Fotiadou C, Kemanetzi C, Trakatelli MG, Trigoni A, Patsatsi A, Apalla Z, Lazaridou E. Eccrine Poroma: Pathogenesis, New Diagnostic Tools and Association with Porocarcinoma-A Review. Diagnostics (Basel) 2023; 13:2689. [PMID: 37627947 PMCID: PMC10453495 DOI: 10.3390/diagnostics13162689] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 08/11/2023] [Accepted: 08/14/2023] [Indexed: 08/27/2023] Open
Abstract
Eccrine poroma (EP) is a relatively rare benign adnexal neoplasm that usually affects elderly patients. Its pathogenesis is still under investigation, but recent gene studies have revealed gene fusions as key incidences resulting in oncogenetic pathways. It often presents as a solitary, firm papule, mostly asymptomatic, located on the soles or palms. Due to its clinical and dermoscopic variability, it is characterized as the great imitator. We performed a literature review, aiming to summarize current data on the pathogenetic mechanisms, new dermoscopic features, and novel diagnostic tools that may aid in early diagnosis and proper management of this rare adnexal tumor. Furthermore, we reviewed the possible pathogenetic associations between EP and its malignant counterpart, namely eccrine porocarcinoma. This systematic approach may aid in understanding the pathogenetic mechanisms and how to use novel histopathologic markers and imaging methods to overcome the diagnostic dilemma of this rare tumor.
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Affiliation(s)
- Eirini Kyrmanidou
- 2nd Department of Dermatology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; (C.F.); (C.K.); (M.-G.T.); (A.T.); (A.P.); (Z.A.); (E.L.)
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7
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Tavoletti G, Avallone G, Maronese CA, Boggio FL, Marzano AV, Nazzaro G. Dermoscopy of dermal duct tumour. Australas J Dermatol 2023; 64:e96-e97. [PMID: 36412254 DOI: 10.1111/ajd.13957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 11/09/2022] [Accepted: 11/12/2022] [Indexed: 11/23/2022]
Affiliation(s)
- Gianluca Tavoletti
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
| | - Gianluca Avallone
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.,Department of Medical Sciences, University of Turin, Dermatology Clinic, Turin, Italy
| | - Carlo A Maronese
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
| | - Francesca L Boggio
- Pathology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Angelo V Marzano
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
| | - Gianluca Nazzaro
- Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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8
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Francesca DT, Mandel VD, Ignazio S, Cinotti E, Kaleci S, Ciardo S, Peccerillo F, Longo C, Farnetani F, Pellacani G. The role of reflectance confocal microscopy in the diagnosis of eccrine poroma: a retrospective case‐control study. Exp Dermatol 2022; 31:1779-1790. [DOI: 10.1111/exd.14658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Revised: 07/18/2022] [Accepted: 07/30/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Di Tullio Francesca
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena Italy
| | - Victor Desmond Mandel
- Porphyria and Rare Diseases Unit San Gallicano Dermatological Institute ‐ IRCCS Rome Italy
| | - Stanganelli Ignazio
- Skin Cancer Unit, Istituto Romagnolo per lo Studio dei Tumori “Dino Amadori” ‐ IRST S.r.l. Istituto di Ricovero e Cura a Carattere Scientifico, Meldola Italy
- Medicine and Surgery Department University of Parma Parma Italy
| | - Elisa Cinotti
- Department of Medical, Surgical and Neurological Science, Dermatology Section University of Siena Siena Italy
| | - Shaniko Kaleci
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena Italy
| | - Silvana Ciardo
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena Italy
| | - Francesca Peccerillo
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena Italy
| | - Caterina Longo
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena Italy
- Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale ‐ IRCCS Reggio Emilia Italy
| | - Francesca Farnetani
- Dermatology Unit, Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena Italy
| | - Giovanni Pellacani
- Dermatologic Unit, Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences La Sapienza University of Rome Rome Italy
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9
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Wu W, Xiong C, Zhang Y, Fang X. Confocal microscopic and dermoscopic features of eccrine poroma: A case report. Skin Res Technol 2022; 28:643-645. [PMID: 35639734 PMCID: PMC9907607 DOI: 10.1111/srt.13174] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Accepted: 05/03/2022] [Indexed: 02/05/2023]
Affiliation(s)
- Weiwei Wu
- Department of Dermatology, The First College of Clinical Medical Sciences, China Three Gorges University, Yichang, China.,Department of Dermatology, Yichang Central People's Hospital, Yichang, China
| | - Chengcheng Xiong
- Department of Dermatology, The First College of Clinical Medical Sciences, China Three Gorges University, Yichang, China.,Department of Dermatology, Yichang Central People's Hospital, Yichang, China
| | - Yan Zhang
- Department of Dermatology, The First College of Clinical Medical Sciences, China Three Gorges University, Yichang, China.,Department of Dermatology, Yichang Central People's Hospital, Yichang, China
| | - Xianfeng Fang
- Department of Dermatology, The First College of Clinical Medical Sciences, China Three Gorges University, Yichang, China.,Department of Dermatology, Yichang Central People's Hospital, Yichang, China
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10
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Nieto-Benito L, Rosell-Díaz A, Avilés-Izquierdo J. [Translated article] Pigmented Papule With a Starburst Pattern on Dermoscopy. ACTAS DERMO-SIFILIOGRAFICAS 2022. [DOI: 10.1016/j.ad.2022.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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11
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Pápula pigmentada con patrón dermatoscópico en estallido de estrellas. ACTAS DERMO-SIFILIOGRAFICAS 2022; 113:301-302. [DOI: 10.1016/j.ad.2020.03.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 02/28/2020] [Accepted: 03/02/2020] [Indexed: 11/22/2022] Open
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12
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Dermal Duct Tumor: A Diagnostic Dilemma. Dermatopathology (Basel) 2022; 9:36-47. [PMID: 35225875 PMCID: PMC8883970 DOI: 10.3390/dermatopathology9010007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 01/21/2022] [Accepted: 01/24/2022] [Indexed: 11/17/2022] Open
Abstract
Poromas or poroid tumors are a group of rare, benign cutaneous neoplasms derived from the terminal eccrine or apocrine sweat gland duct. There are four poroma variants with overlapping features: dermal duct tumor (DDT), eccrine poroma, hidroacanthoma simplex, and poroid hidradenoma, of which DDT is the least common. Clinically, the variants have a nonspecific appearance and present as solitary dome-shaped papules, plaques, or nodules. They can be indistinguishable from each other and a multitude of differential diagnoses, necessitating a better understanding of the characteristics that make the diagnosis of poroid neoplasms. However, there remains a paucity of information on these lesions, especially DDTs, given their infrequent occurrence. Herein, we review the literature on DDTs with an emphasis on epidemiology, pathogenesis, clinical features, diagnosis, and management.
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13
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Vinay K, Gupta P, Daroach M, Bishnoi A. Dermatoscopy of plantar keloids in three patients. Indian Dermatol Online J 2022; 13:532-534. [PMID: 36262592 PMCID: PMC9574154 DOI: 10.4103/idoj.idoj_491_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 08/16/2021] [Accepted: 09/10/2021] [Indexed: 11/09/2022] Open
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14
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Pigmented Tumor on the Scalp. ACTAS DERMO-SIFILIOGRAFICAS 2021. [DOI: 10.1016/j.adengl.2021.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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15
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Vidal J, Carolina Innocenti A, Marabini N. Pigmented Tumor on the Scalp. ACTAS DERMO-SIFILIOGRAFICAS 2021; 112:S0001-7310(21)00207-6. [PMID: 34118209 DOI: 10.1016/j.ad.2020.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 03/13/2020] [Accepted: 03/23/2020] [Indexed: 11/22/2022] Open
Affiliation(s)
- J Vidal
- Servicio de Dermatología. Hospital Español de Mendoza, Mendoza, Argentina; Facultad de Ciencias Médicas. Universidad Nacional de Cuyo, Mendoza, Argentina.
| | | | - N Marabini
- Facultad de Ciencias Médicas. Universidad Nacional de Cuyo, Mendoza, Argentina; Servicio de Dermatología. Hospital Luis Lagomaggiore, Mendoza, Argentina
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16
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Hidden clear cell acanthoma with uncommon dermoscopic findings. An Bras Dermatol 2021; 96:517-518. [PMID: 34006397 PMCID: PMC8245719 DOI: 10.1016/j.abd.2020.06.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 06/17/2020] [Accepted: 06/19/2020] [Indexed: 11/01/2022] Open
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17
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Herzum A, Molle MF, Tavilla PP, Cabiddu F, Parodi A. A unique collision mimicking nodular melanoma. JAAD Case Rep 2021; 13:11-13. [PMID: 34136616 PMCID: PMC8181468 DOI: 10.1016/j.jdcr.2021.04.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Astrid Herzum
- Department of Dermatology, University of Genoa, San Martino Polyclinic Hospital Istituto di Ricovero e Cura a Carattere Scientifico, Genoa, Italy
- Correspondence to: Astrid Herzum, MD, Department of Dermatology, University of Genoa, Department of Health Sciences, San Martino Polyclinic Hospital Istituto di Ricovero e Cura a Carattere Scientifico, Largo R. Benzi 10, Genoa 16132, Italy.
| | - Mattia Fabio Molle
- Department of Dermatology, University of Genoa, San Martino Polyclinic Hospital Istituto di Ricovero e Cura a Carattere Scientifico, Genoa, Italy
| | - Pietro Paolo Tavilla
- Department of Dermatology, University of Genoa, San Martino Polyclinic Hospital Istituto di Ricovero e Cura a Carattere Scientifico, Genoa, Italy
| | - Francesco Cabiddu
- Pathology Section, Department of Health Sciences, University of Genoa, San Martino Polyclinic Hospital Istituto di Ricovero e Cura a Carattere Scientifico, Genoa, Italy
| | - Aurora Parodi
- Department of Dermatology, University of Genoa, San Martino Polyclinic Hospital Istituto di Ricovero e Cura a Carattere Scientifico, Genoa, Italy
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18
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Secondary Tumor Arising in a Nevus Sebaceous. SERBIAN JOURNAL OF DERMATOLOGY AND VENEREOLOGY 2021. [DOI: 10.2478/sjdv-2020-0018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
Introduction. Nevus sebaceous is a rare congenital hamartoma, composed of epidermis, sebaceous glands, sweat glands and hair follicles. It is possible to develop secondary tumors in the area of nevus sebaceous during the lifetime, most often after puberty. Secondary lesions are most often benign, while malignant lesions may occur but significantly less frequently.
Case report. We present the case of a 21-year-old patient who came for an examination due to the appearance of a nodule in the area of a yellowish lesion on the head. The yellowish lesion was present since birth, and the nodule appeared about a year before. The dermoscopic examination of the lesion was nonspecific. The final diagnosis of eccrine poroma as a secondary lesion in nevus sebaceous was made by pathohisto-logical analysis.
Conclusion. Every secondary tumor in nevus sebaceous deserves full attention, with either close follow up, or excision with pathohistological analysis.
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19
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Takada T. Diagnostic features of a non-pigmented eccrine poroma with a collarette: Histopathological and dermoscopic correlation. Clin Case Rep 2021; 9:1601-1604. [PMID: 33768898 PMCID: PMC7981738 DOI: 10.1002/ccr3.3848] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 01/09/2021] [Indexed: 01/19/2023] Open
Abstract
This is a case that emphasized the need for detailed observation of the entire lesion in dermoscopic examination. Novel dermoscopic findings within a collarette.
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Ha DL, Lee GW, Shin K, Kim HS, Ko HC, Kim BS, Kim MB. Characteristic Clinical and Dermoscopic Features of Nonvolar Poroma. J Cutan Med Surg 2020; 25:142-149. [PMID: 32880198 DOI: 10.1177/1203475420952432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND A poroma typically presents as a solitary, pink-to-red papule or nodule in acral volar areas. However, in nonvolar areas, this typical clinical feature (TCF) can be difficult to identify. OBJECTIVE We aimed to compare clinical and dermoscopic characteristics between nonvolar poroma (NVP) and volar (ie, typical) poroma (VP). METHODS We assessed the clinical and dermoscopic characteristics of 40 patients with poromas who were divided into the NVP and VP groups. RESULTS Of the 40 patients, 20 (50.0%) were allocated to the NVP group and 20 (50.0%) to the VP group. Pigmented variants were more common in the NVP group than in the VP group (60.0% vs 5.0%). The TCF of poroma was observed less frequently in the NVP than the VP group (45.0% vs 85.0%). Approximately one-third (30.0%) of patients with NVP received an initial clinical diagnosis of skin cancer. Dermoscopic patterns associated with melanoma or basal cell carcinoma were more common in the NVP group than in the VP group (65% vs 30%). CONCLUSIONS Skin cancer-associated clinicodermoscopic features were more frequently observed in patients with NVP, who simultaneously lost dermoscopic patterns associated to poromas and acquired those associated with skin cancer, than those with VP.
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Affiliation(s)
- Dae-Lyong Ha
- 34996 Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea.,220312 Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
| | - Gi-Wook Lee
- 34996 Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - Kihyuk Shin
- 34996 Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - Hoon-Soo Kim
- 34996 Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea.,220312 Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
| | - Hyun-Chang Ko
- 34996 Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - Byung-Soo Kim
- 34996 Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea.,220312 Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
| | - Moon-Bum Kim
- 34996 Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea.,220312 Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
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Yorulmaz A, Aksoy GG, Ozhamam EU. A Growing Mass under the Nail: Subungual Eccrine Poroma. Skin Appendage Disord 2020; 6:254-257. [PMID: 32903899 DOI: 10.1159/000508668] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 05/13/2020] [Indexed: 12/25/2022] Open
Abstract
Eccrine poroma is a benign adnexal tumour, which originates from the acrosyringium of eccrine sweat glands. Eccrine poroma is an uncommon neoplasm, the typical clinical presentation of which is a solitary soft sessile reddish papule protruding from a cup-shaped shallow depression. Many challenges remain in the diagnosis of eccrine poroma because it does not always present with classical features and may mimic any other cutaneous benign and malignant lesions. Eccrine poromas may occur on any skin surface with sweat glands; on the other hand, the most common sites of involvement include the palms and soles, which are rich in eccrine sweat glands. Here, we present a case of subungual eccrine poroma, which is an extremely rare presentation of poromas. We also highlight dermoscopic features of eccrine poroma and review the available literature on the subject.
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Affiliation(s)
- Ahu Yorulmaz
- Department of Dermatology, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Gunes Gur Aksoy
- Department of Dermatology, Ankara Bilkent City Hospital, Ankara, Turkey
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Eksomtramage T, Aiempanakit K. Poroma: A case report of pulsatile papule visualized on dermoscopy. Clin Case Rep 2019; 7:2417-2419. [PMID: 31893072 PMCID: PMC6935676 DOI: 10.1002/ccr3.2520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 09/24/2019] [Accepted: 09/24/2019] [Indexed: 12/23/2022] Open
Abstract
Poroma, a benign sweat tumor, commonly presents with a nontender papule on the extremities. It can appear with a blinking light appearance on dermoscopy in real time.
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Affiliation(s)
- Thanadon Eksomtramage
- Division of DermatologyDepartment of Internal MedicineFaculty of MedicinePrince of Songkla UniversityHat YaiThailand
| | - Kumpol Aiempanakit
- Division of DermatologyDepartment of Internal MedicineFaculty of MedicinePrince of Songkla UniversityHat YaiThailand
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Chessa MA, Patrizi A, Baraldi C, Fanti PA, Barisani A, Vaccari S. Dermoscopic-Histopathological Correlation of Eccrine Poroma: An Observational Study. Dermatol Pract Concept 2019; 9:283-291. [PMID: 31723462 DOI: 10.5826/dpc.0904a07] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2019] [Indexed: 12/19/2022] Open
Abstract
Background Eccrine poroma (EP) is a benign adnexal neoplasm that can be pigmented in 17% of cases. Four histopathological variants of EP exist. Dermoscopically, EP can mimic many other skin neoplasms. Objectives To provide a dermoscopic-histopathological correlation of EP, classifying the clinical and dermoscopic features of EPs on the basis of their histopathological subtype, in an attempt to better characterize these entities. Patients and Methods A single-center retrospective study was conducted. Clinical data were collected; patients were classified on the basis of the 4 histopathological variants of EPs. Dermoscopic images were reviewed. A dermoscopic-histopathological correlation was performed, and the results were compared with literature data. Results Twenty-six lesions were included, both pigmented and nonpigmented. Three of the 4 histopathological variants were identified. Different dermoscopic features were observed for each distinct histopathological subtype of EP. The lesions mimicked different types of other skin neoplasms, in particular: nonpigmented hidroacanthoma simplex resembled nonmelanoma skin cancer; pigmented hidroacanthoma simplex appeared like a seborrheic keratosis or a solar lentigo; EPs sensu stricto presented as pink nodules if nonpigmented and were similar to seborrheic keratosis if pigmented; dermal duct tumors appeared as pigmented nodular lesions. Conclusions Distinct dermoscopic features appeared to be recurrent in each histopathological variant. Dermoscopy can provide important clues for the diagnosis of EP; the final diagnosis is allowed by histopathology. To achieve a correct diagnosis of EP, because of its clinical and dermoscopic variability, surgical excision is recommended.
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Affiliation(s)
- Marco A Chessa
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Annalisa Patrizi
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Carlotta Baraldi
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Pier Alessandro Fanti
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Alessia Barisani
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
| | - Sabina Vaccari
- Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy
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Akay BN, Demirdag HG, Evren E, Karahan ZC, Okcu Heper A, Kundakci N. Deep fungal infection caused by Trichophyton rubrum after heart transplantation: A case report with dermoscopy. Australas J Dermatol 2019; 60:e252-e254. [PMID: 30656644 DOI: 10.1111/ajd.12993] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Bengu Nisa Akay
- Department of Dermatology, School of Medicine, Ankara University, Ankara, Turkey
| | - Hatice Gamze Demirdag
- Department of Dermatology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Health Science University, Ankara, Turkey
| | - Ebru Evren
- Department of Medical Microbiology, School of Medicine, Ankara University, Ankara, Turkey
| | - Zeynep Ceren Karahan
- Department of Medical Microbiology, School of Medicine, Ankara University, Ankara, Turkey
| | - Aylin Okcu Heper
- Department of Pathology, School of Medicine, Ankara University, Ankara, Turkey
| | - Nihal Kundakci
- Department of Dermatology, School of Medicine, Ankara University, Ankara, Turkey
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