Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente
Objectives: Eccrine porocarcinoma is a rare malignant adnexal tumor derived from the eccrine sweat glands, with metastatic potential. It primarily affects elderly individuals, and its most common location is in the head and neck region. Clinically, it presents as a solitary, nodular, erythematous-vi...
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| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2026
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/48849 |
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I10-R327-article-48849 |
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Universidad Nacional de Córdoba |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
eccrine porocarcinoma poroma carcinoma skin appendage eccrine porocarcinoma poroma carcinoma skin appendage porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo |
| spellingShingle |
eccrine porocarcinoma poroma carcinoma skin appendage eccrine porocarcinoma poroma carcinoma skin appendage porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo Sanguinetti, Juana Abeledo, Lía Salomé Walker, María Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya, Javier Busso, Corina Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente |
| topic_facet |
eccrine porocarcinoma poroma carcinoma skin appendage eccrine porocarcinoma poroma carcinoma skin appendage porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo |
| author |
Sanguinetti, Juana Abeledo, Lía Salomé Walker, María Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya, Javier Busso, Corina |
| author_facet |
Sanguinetti, Juana Abeledo, Lía Salomé Walker, María Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya, Javier Busso, Corina |
| author_sort |
Sanguinetti, Juana |
| title |
Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente |
| title_short |
Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente |
| title_full |
Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente |
| title_fullStr |
Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente |
| title_full_unstemmed |
Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente |
| title_sort |
porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente |
| description |
Objectives: Eccrine porocarcinoma is a rare malignant adnexal tumor derived from the eccrine sweat glands, with metastatic potential. It primarily affects elderly individuals, and its most common location is in the head and neck region. Clinically, it presents as a solitary, nodular, erythematous-violaceous tumor. Its diagnosis can be challenging due to its clinical and histopathological variability. The objective of this case report is to describe a case of eccrine porocarcinoma in an unusual location and analyze its diagnostic and therapeutic approach.
Case Report: We present the case of a 59-year-old male patient who sought medical attention due to an asymptomatic lesion on the dorsum of the right foot, evolving over three months. On physical examination, a 1.5 cm diameter tumor with a brownish coloration and lobulated exophytic appearance was observed. Dermoscopy revealed erythematous and whitish areas. An incisional biopsy was performed, and histopathological analysis revealed an in situ porocarcinoma originating from a poroma. Immunohistochemistry confirmed positivity for EMA, CEA, and p63. A complete excision of the lesion was performed, with free margins and no evidence of recurrence to date.
Conclusion: Eccrine porocarcinoma is a rare cutaneous neoplasm but has aggressive potential. Its diagnosis requires a comprehensive approach based on clinical evaluation, histopathology, and immunohistochemistry. Complete excision with free margins is the treatment of choice, although other therapies may be considered in advanced cases. Periodic follow-up is essential for early detection of recurrences and metastases. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2026 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/48849 |
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I10-R327-article-488492026-03-17T12:37:27Z Porocarcinoma ecrino en el dorso del pie: presentación de un caso clínico de un tumor infrecuente Eccrine porocarcinoma on the dorsum of the foot: case report of an uncommon tumor Porocarcinoma écrino no dorso do pé: relato de caso clínico de um tumor incomum Sanguinetti, Juana Abeledo, Lía Salomé Walker, María Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya , Javier Busso, Corina Sanguinetti, Juana Abeledo, Lía Salomé Walker, Maria Anaya, Javier Busso, Corina eccrine porocarcinoma poroma carcinoma skin appendage eccrine porocarcinoma poroma carcinoma skin appendage porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma ecrino poroma carcinoma de apéndice cutáneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo porocarcinoma écrino poroma carcinoma de apêndice cutâneo Objectives: Eccrine porocarcinoma is a rare malignant adnexal tumor derived from the eccrine sweat glands, with metastatic potential. It primarily affects elderly individuals, and its most common location is in the head and neck region. Clinically, it presents as a solitary, nodular, erythematous-violaceous tumor. Its diagnosis can be challenging due to its clinical and histopathological variability. The objective of this case report is to describe a case of eccrine porocarcinoma in an unusual location and analyze its diagnostic and therapeutic approach. Case Report: We present the case of a 59-year-old male patient who sought medical attention due to an asymptomatic lesion on the dorsum of the right foot, evolving over three months. On physical examination, a 1.5 cm diameter tumor with a brownish coloration and lobulated exophytic appearance was observed. Dermoscopy revealed erythematous and whitish areas. An incisional biopsy was performed, and histopathological analysis revealed an in situ porocarcinoma originating from a poroma. Immunohistochemistry confirmed positivity for EMA, CEA, and p63. A complete excision of the lesion was performed, with free margins and no evidence of recurrence to date. Conclusion: Eccrine porocarcinoma is a rare cutaneous neoplasm but has aggressive potential. Its diagnosis requires a comprehensive approach based on clinical evaluation, histopathology, and immunohistochemistry. Complete excision with free margins is the treatment of choice, although other therapies may be considered in advanced cases. Periodic follow-up is essential for early detection of recurrences and metastases. Objetivos: El porocarcinoma ecrino es un tumor anexial maligno, infrecuente, derivado de las glándulas sudoríparas ecrinas, con potencial metastásico. Afecta principalmente a personas de edad avanzada y su localización más frecuente es a nivel de cabeza y cuello. Clínicamente se presenta como un tumor único, nodular, eritematovioláceo. Su diagnóstico puede ser desafiante debido a su variabilidad clínica e histopatológica. El objetivo de este reporte es describir un caso de porocarcinoma ecrino en una localización inusual y analizar su abordaje diagnóstico y terapéutico. Caso clínico: Se presenta el caso de un paciente masculino de 59 años que consultó por una lesión asintomática en el dorso del pie derecho, de tres meses de evolución. Al examen físico se evidenció un tumor de 1.5 cm de diámetro, de coloración pardo-amarronada y aspecto exofítico lobulado. La dermatoscopía mostró áreas eritematosas y blanquecinas. Se realizó una biopsia incisional cuyo estudio histopatológico reveló un porocarcinoma in situ originado en un poroma. La inmunohistoquímica confirmó positividad para EMA, CEA y p63. Se llevó a cabo una exéresis completa con márgenes libres, sin evidencia de recidiva hasta el momento. Conclusión: El porocarcinoma ecrino es una neoplasia cutánea, poco frecuente, pero con potencial agresivo. Su diagnóstico requiere un enfoque integral basado en clínica, histopatología e inmunohistoquímica. La exéresis completa con márgenes libres es el tratamiento de elección, aunque pueden considerarse otras terapias en casos avanzados. Es fundamental el seguimiento periódico para detectar recidivas y metástasis tempranamente. Objetivos: O porocarcinoma écrino é um tumor anexial maligno, raro, derivado das glândulas sudoríparas écrinas, com potencial metastático. Afeta principalmente pessoas idosas e sua localização mais comum é na região da cabeça e pescoço. Clinicamente, apresenta-se como um tumor único, nodular e eritematovioláceo. Seu diagnóstico pode ser desafiador devido à sua variabilidade clínica e histopatológica.O objetivo deste relato é descrever um caso de porocarcinoma écrino em uma localização incomum e analisar sua abordagem diagnóstica e terapêutica. Caso clínico:Apresentamos o caso de um paciente do sexo masculino, de 59 anos, que procurou atendimento devido a uma lesão assintomática localizada no dorso do pé direito, com evolução de três meses. Ao exame físico, observou-se um tumor de 1,5 cm de diâmetro, de coloração marrom-acastanhada e aspecto exofítico lobulado. A dermatoscopia revelou áreas eritematosas e esbranquiçadas. Foi realizada uma biópsia incisional, cujo exame histopatológico revelou um porocarcinoma in situ originado em um poroma. A imunohistoquímica confirmou positividade para EMA, CEA e p63. Procedeu-se à exérese completa da lesão, com margens livres, sem evidência de recidiva até o momento. Conclusão: O porocarcinoma écrino é uma neoplasia cutânea rara, porém com potencial agressivo. Seu diagnóstico requer uma abordagem integral baseada em avaliação clínica, histopatológica e imunohistoquímica. A exérese completa com margens livres é o tratamento de escolha, embora outras terapias possam ser consideradas em casos avançados. O acompanhamento periódico é essencial para detectar recidivas e metástases precocemente. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2026-03-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/48849 10.31053/1853.0605.v83.n1.48849 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 83 No. 1 (2026): Avance de publicación; e48849 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 83 Núm. 1 (2026): Avance de publicación; e48849 Revista da Faculdade de Ciências Médicas de Córdoba; v. 83 n. 1 (2026): Avance de publicación; e48849 1853-0605 0014-6722 10.31053/1853.0605.v83.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/48849/52573 Derechos de autor 2026 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |