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A rare case of eccrine spiradenoma—treatment and management
A young male patient presented with multiple swellings on his chest and the nape of his neck. Physical examination revealed multiple small papulonodular swellings measuring 0.5 × 0.5 cm to 2 × 2 cm, that were soft without discharge with no surrounding skin changes or induration. Skin biopsy samples...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4803810/ https://www.ncbi.nlm.nih.gov/pubmed/27069311 http://dx.doi.org/10.1007/s00238-015-1103-4 |
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author | Dhua, Subha Sekhar, D. R. |
author_facet | Dhua, Subha Sekhar, D. R. |
author_sort | Dhua, Subha |
collection | PubMed |
description | A young male patient presented with multiple swellings on his chest and the nape of his neck. Physical examination revealed multiple small papulonodular swellings measuring 0.5 × 0.5 cm to 2 × 2 cm, that were soft without discharge with no surrounding skin changes or induration. Skin biopsy samples were diagnosed as benign adnexal neoplasm consistent with eccrine spiradenoma, trichoepithelioma, and cylindroma, i.e., Brooke–Spiegler syndrome. Having confirmed this to be a case of eccrine spiradenoma, surgical excision was performed and the raw area was covered with a split thickness skin graft taken from the right thigh and sutured over the raw area. The sternal lesion was circumferentially excised and the wound was primarily closed by Z-plasty. Surgical excision is considered the gold standard for the treatment of these cases, with low rates of recurrence. Around 50 such cases have been reported in the literature to date. Although eccrine spiradenomas are usually solitary and small, the findings in our case underscore the fact that a variety of presentations are possible. With strict clinical suspicion and histological criteria, the correct diagnosis can be achieved, especially when combined with pertinent clinical information and laboratory studies. Level of Evidence: Level V, therapeutic study. |
format | Online Article Text |
id | pubmed-4803810 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-48038102016-04-09 A rare case of eccrine spiradenoma—treatment and management Dhua, Subha Sekhar, D. R. Eur J Plast Surg Case Report A young male patient presented with multiple swellings on his chest and the nape of his neck. Physical examination revealed multiple small papulonodular swellings measuring 0.5 × 0.5 cm to 2 × 2 cm, that were soft without discharge with no surrounding skin changes or induration. Skin biopsy samples were diagnosed as benign adnexal neoplasm consistent with eccrine spiradenoma, trichoepithelioma, and cylindroma, i.e., Brooke–Spiegler syndrome. Having confirmed this to be a case of eccrine spiradenoma, surgical excision was performed and the raw area was covered with a split thickness skin graft taken from the right thigh and sutured over the raw area. The sternal lesion was circumferentially excised and the wound was primarily closed by Z-plasty. Surgical excision is considered the gold standard for the treatment of these cases, with low rates of recurrence. Around 50 such cases have been reported in the literature to date. Although eccrine spiradenomas are usually solitary and small, the findings in our case underscore the fact that a variety of presentations are possible. With strict clinical suspicion and histological criteria, the correct diagnosis can be achieved, especially when combined with pertinent clinical information and laboratory studies. Level of Evidence: Level V, therapeutic study. Springer Berlin Heidelberg 2015-06-17 2016 /pmc/articles/PMC4803810/ /pubmed/27069311 http://dx.doi.org/10.1007/s00238-015-1103-4 Text en © The Author(s) 2015 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Dhua, Subha Sekhar, D. R. A rare case of eccrine spiradenoma—treatment and management |
title | A rare case of eccrine spiradenoma—treatment and management |
title_full | A rare case of eccrine spiradenoma—treatment and management |
title_fullStr | A rare case of eccrine spiradenoma—treatment and management |
title_full_unstemmed | A rare case of eccrine spiradenoma—treatment and management |
title_short | A rare case of eccrine spiradenoma—treatment and management |
title_sort | rare case of eccrine spiradenoma—treatment and management |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4803810/ https://www.ncbi.nlm.nih.gov/pubmed/27069311 http://dx.doi.org/10.1007/s00238-015-1103-4 |
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