Hidden Malignancy: Predominantly InSitu Porocarcinoma Arising in a Poroma.
Fabio Del Carro, Giovanni Evalli, Giovanni Fellegara
✦ AI-curated · Sources linked
Case in brief
A 79-year-old woman presented with a well-circumscribed exophytic mass on her right calcaneal region, which had been enlarging over two years. Initial biopsy suggested an eccrine poroma, but further histopathological analysis revealed atypical cells indicating a predominantly in situ, focally invasive porocarcinoma. Following electrocautery and negative pelvic node examination, the patient remained free of recurrence at six months.
Diagnostic / clinical pearl
This case highlights that benign-appearing eccrine poromas can contain foci of malignant transformation, necessitating thorough histopathological evaluation.