Eccrine carcinoma

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Eccrine carcinoma
Other namesSyringoid carcinoma
SkinTumors-P8110577.JPG
Eccrine carcinoma, alveolar type
Specialty Dermatology

Eccrine carcinoma is a rare skin condition characterized by a plaque or nodule on the scalp, trunk, or extremities. [1] :669 It originates from the eccrine sweat glands of the skin, accounting for less than 0.01% of diagnosed cutaneous malignancies. [2] Eccrine carcinoma tumors are locally aggressive with a high rate of recurrence. Lack of reliable immunohistochemical markers and similarity to other common tumors has made identification of eccrine carcinoma difficult. [2]

Contents

Symptoms

Eccrine carcinoma results in brown, bluish, erythematous skin lesions across the body. Common regions where lesions are found are in the lower extremities (35%), head and neck (24%), and upper extremities (14%). [3] [4]

Complications

Metastases and/or antagonistic side effects can occur after surgical excision of tumors. [2]

Types

Eccrine carcinoma tumors consist of two types: malignant and benign. Malignant tumors include porocarcinoma, hidradenocarcinoma, malignant spiradenoma carcinoma, malignant cylindroma, syringoid eccrine carcinoma, microcystic adnexal carcinoma, mucinous carcinoma, adenoid cystic carcinoma, and ductal papillary adenocarcinoma. [2] Benign tumors include poroma, hidradenoma, spiradenoma, cylindroma, syringometaplasia, syringoma, syringofibroadenoma, and chondroid syringoma. [2] Other tumors not classified include eccrine ductal carcinoma, basaloid eccrine carcinoma, clear cell eccrine carcinoma and non-specified sweat gland carcinomas. [2]

Causes

There is no research yet as to what causes Eccrine carcinoma. [2]

Diagnosis

A skin biopsy is the common test used to diagnose Eccrine Carcinoma. [2] The biopsy will detect growth of new or abnormal tissue. Another test that can be performed is using Immunohistochemistry, but it is inconsistent. [2] Markers used to detect Eccrine Carcinoma consist of carcinoembryonic antigen, progesterone receptors, estrogen receptors, epithelial membrane antigen, pancytokeratins, and cytokeratin 7. [5] [6]

Treatment

Treatment requires surgical excision of tumors brought upon by Eccrine Carcinoma. [7] To treat lesions, chemotherapy and radiation therapy have been used. [8]

Prognosis

Eccrine carcinoma has a relative mortality rate of 80%, and the 10-year overall survival rate is 9%. [3]

Frequency

Eccrine carcinoma accounts for 0.005-0.01% of diagnosed cutaneous malignancies. [9]

See also

Related Research Articles

Lipoma Benign tumor made of fat tissue

A lipoma is a benign tumor made of fat tissue. They are generally soft to the touch, movable, and painless. They usually occur just under the skin, but occasionally may be deeper. Most are less than 5 cm in size. Common locations include upper back, shoulders, and abdomen. A few people have a number of lipomas.

Dermoid cyst

A dermoid cyst is a teratoma of a cystic nature that contains an array of developmentally mature, solid tissues. It frequently consists of skin, hair follicles, and sweat glands, while other commonly found components include clumps of long hair, pockets of sebum, blood, fat, bone, nail, teeth, eyes, cartilage, and thyroid tissue.

Sweat gland Small tubular structures of the skin that produce sweat; a type of exocrine gland, which are glands that produce and secrete substances onto an epithelial surface by way of a duct.

Sweat glands, also known as sudoriferous or sudoriparous glands, from Latin sudor 'sweat', are small tubular structures of the skin that produce sweat. Sweat glands are a type of exocrine gland, which are glands that produce and secrete substances onto an epithelial surface by way of a duct. There are two main types of sweat glands that differ in their structure, function, secretory product, mechanism of excretion, anatomic distribution, and distribution across species:

Hidradenoma

Hidradenoma refers to a benign adnexal tumor of the apical sweat gland. These are 1–3 cm translucent blue cystic nodules. It usually presents as a single, small skin-colored lesion, and is considered distinct from the closely related poroma. Hidradenomas are often sub-classified based on subtle histologic differences, for example:

Syringoma

Syringomas are benign eccrine sweat duct tumors, typically found clustered on eyelids, although they may also be found in the armpits, abdomen, chest, neck, scalp or groin area including genitals in a symmetric pattern. They are skin-colored or yellowish firm, rounded bumps, 1–3 mm in diameter, and may be confused with xanthoma, milia, hidrocystoma, trichoepithelioma, and xanthelasma. They are more common in women and are most commonly found in middle-aged Asian women. While they can present at any time in life, they typically present during adolescence. They are usually not associated with any other symptoms although can sometimes cause itchiness or irritation.

Necrolytic migratory erythema

Necrolytic migratory erythema is a red, blistering rash that spreads across the skin. It particularly affects the skin around the mouth and distal extremities; but may also be found on the lower abdomen, buttocks, perineum, and groin. It is strongly associated with glucagonoma, a glucagon-producing tumor of the pancreas, but is also seen in a number of other conditions including liver disease and intestinal malabsorption.

Melanocytic tumors of uncertain malignant potential (MELTUMP) are melanocytic lesions in the dermis that cannot be classified by morphology as either benign naevi (moles) or malignant melanomas because the mass shows features of both.

Cutaneous horn

Cutaneous horns, also known by the Latin name cornu cutaneum, are unusual keratinous skin tumors with the appearance of horns, or sometimes of wood or coral. Formally, this is a clinical diagnosis for a "conical projection above the surface of the skin." They are usually small and localized but can, in very rare cases, be much larger. Although often benign, they can also be malignant or premalignant.

Carcinosarcoma

Carcinosarcomas are malignant tumors that consist of a mixture of carcinoma and sarcoma. Carcinosarcomas are rare tumors, and can arise in diverse organs, such as the skin, salivary glands, lungs, the esophagus, pancreas, colon, uterus and ovaries.

Dermal cylindroma

In dermatologic pathology, a dermal cylindroma, also dermal eccrine cylindroma or cutaneous cylindroma) and cylindroma, is a benign adnexal tumor that occurs on the scalp and forehead.

Florid cutaneous papillomatosis (FCP), is an obligate paraneoplastic syndrome.

Eccrine angiomatous hamartoma (EAH), first described by Lotzbeck in 1859, is a rare benign vascular hamartoma characterized histologically by a proliferation of eccrine and vascular components. EAH exists on a spectrum of cutaneous tumors that include eccrine nevus, mucinous eccrine nevus and EAH. Each diagnostic subtype is characterized by an increase in the number as well as size of mature eccrine glands or ducts, with EAH being distinguished by the added vascular component.

Sebaceous carcinoma

Sebaceous carcinoma, also known as sebaceous gland carcinoma (SGc), sebaceous cell carcinoma, and meibomian gland carcinoma is an uncommon malignant cutaneous tumor. Most are typically about 1.4 cm at presentation. SGc originates from sebaceous glands in the skin and, therefore, may originate anywhere in the body where these glands are found. SGc can be divided into 2 types: periocular and extraocular. The periocular region is rich in sebaceous glands making it a common site of origin. The cause of these lesions in the vast majority of cases is unknown. Occasional cases may be associated with Muir-Torre syndrome. SGc accounts for approximately 0.7% of all skin cancers, and the incidence of SGc is highest in Caucasian, Asian, and Indian populations. Due to the rarity of this tumor and variability in clinical and histological presentation, SGc is often misdiagnosed as an inflammatory condition or a more common neoplasm. SGc is commonly treated with wide local excision or Mohs micrographic surgery, and the relative survival rates at 5 and 10 years are 92.72 and 86.98%, respectively.

Desmoplasia

In medicine, desmoplasia is the growth of fibrous or connective tissue. It is also called desmoplastic reaction to emphasize that it is secondary to an insult. Desmoplasia may occur around a neoplasm, causing dense fibrosis around the tumor, or scar tissue (adhesions) within the abdomen after abdominal surgery.

Poroma

A poroma is a benign skin tumor derived from sweat glands. Although the original term poroma was initially used to describe a tumor derived from the ductal epithelium of eccrine sweat glands, the term is used in general reference to tumors derived from ductal portions of both eccrine and apocrine sweat glands. Specific sub-types are primarily defined by location of tumor, and include:

Malignant chondroid syringoma Type of skin cancer

A malignant chondroid syringoma is a very uncommon cutaneous (skin) condition characterised by an adnexal eccrine tumour.

Papillary eccrine adenoma is a cutaneous condition characterized by an uncommon benign sweat gland neoplasm that presents as a dermal nodule located primarily on the extremities of black patients.

Microcystic adnexal carcinoma

Microcystic adnexal carcinoma (MAC) is a rare sweat gland cancer, which often appears as a yellow spot or bump in the skin. It usually occurs in the neck or head, although cases have been documented in other areas of the body. Most diagnosis occur past the age of 50. Although considered an invasive cancer, metastasis rarely occurs. Main treatments are wide local excision or Mohs micrographic surgery, which ensures that most, if not all, cancer cells are removed surgically.

Hidradenocarcinoma

Hidradenocarcinoma is a malignant adnexal tumor of the sweat gland. It is the malignant variant of the benign hidradenoma. It may develop de novo or in association with an existent hidradenoma.

Ceruminous adenocarcinoma

Ceruminous adenocarcinoma is a malignant neoplasm derived from ceruminous glands of the external auditory canal. This tumor is rare, with several names used in the past. Synonyms have included cylindroma, ceruminoma, ceruminous adenocarcinoma, not otherwise specified (NOS), ceruminous adenoid cystic carcinoma (ACC), and ceruminous mucoepidermoid carcinoma.

References

  1. James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: Clinical Dermatology. Saunders Elsevier. ISBN   0-7216-2921-0.
  2. 1 2 3 4 5 6 7 8 9 Kaseb, Hatem; Babiker, Hani M. (2020), "Cancer, An Overview of Eccrine Carcinoma", StatPearls, StatPearls Publishing, PMID   31082086 , retrieved 2020-04-22
  3. 1 2 Larson, Kristian; Babiker, Hani M.; Kovoor, Andrew; Liau, Joy; Eldersveld, Jordan; Elquza, Emad (2018). "Oral Capecitabine Achieves Response in Metastatic Eccrine Carcinoma". Case Reports in Oncological Medicine. 2018: 1–5. doi: 10.1155/2018/7127048 . ISSN   2090-6706. PMID   29686913.
  4. Idrissi Serhrouchni, Karima; Harmouch, Taoufiq; Chbani, Laila; El Fatemi, Hind; Sekal, Mohammed; Hammas, Nawal; Soughi, Meriem; Benchat, Loubna; Amarti, Afaf (2013-02-04). "Eccrine carcinoma: a rare cutaneous neoplasm". Diagnostic Pathology. 8 (1): 15. doi: 10.1186/1746-1596-8-15 . ISSN   1746-1596. PMC   3570399 . PMID   23379908.
  5. Swanson, P. E.; Cherwitz, D. L.; Neumann, M. P.; Wick, M. R. (1987–2004). "Eccrine sweat gland carcinoma: an histologic and immunohistochemical study of 32 cases*". Journal of Cutaneous Pathology. 14 (2): 65–86. doi:10.1111/j.1600-0560.1987.tb00477.x. ISSN   0303-6987. PMID   2439558.
  6. Ohnishi, Takamitsu; Kaneko, Sakae; Egi, Motoko; Takizawa, Hajime; Watanabe, Shinichi (2002–2010). "Syringoid Eccrine Carcinoma". The American Journal of Dermatopathology. 24 (5): 409–413. doi:10.1097/00000372-200210000-00007. ISSN   0193-1091. PMID   12357203. S2CID   20147934.
  7. Moy, Ronald L.; Rivkin, Jonathan E.; Lee, Hyo; Brooks, Walter S.; Zitelli, John A. (1991–2005). "Syringoid eccrine carcinoma". Journal of the American Academy of Dermatology. 24 (5): 857–860. doi:10.1016/0190-9622(91)70133-m. ISSN   0190-9622. PMID   2050853.
  8. Sidiropoulos, M.; Sade, S.; Al-Habeeb, A.; Ghazarian, D. (2011-06-04). "Syringoid eccrine carcinoma: a clinicopathological and immunohistochemical study of four cases". Journal of Clinical Pathology. 64 (9): 788–792. doi:10.1136/jclinpath-2011-200069. ISSN   0021-9746. PMID   21642659. S2CID   46508699.
  9. Salih, Abdulwahid M.; Kakamad, F.H.; Essa, Rawand A.; Rauf, Goran M.; S.A., Masrur; H.M., Shvan; Q.S., Rawezh; A.H., Hunar; A.H., Dahat; Othman, Snur (2017). "Porocarcinoma: A systematic review of literature with a single case report". International Journal of Surgery Case Reports. 30: 13–16. doi: 10.1016/j.ijscr.2016.10.051 . ISSN   2210-2612. PMC   5128823 . PMID   27898349.
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