Giant vascular eccrine spiradenoma

• Published in: International journal of dermatology Vol. 37; no. 3; pp. 221 - 223
• Main Authors: Senol MD, Mustafa, Ozcan MD, Atilla, Sasmaz MD, Sezai, Ozen MD, Süleyman, Cıralık MD, Harun
• Format: Journal Article
• Language: English
• Published: Oxford BSL http://www.blacksci.co.uk Blackwell Science Ltd 01-03-1998; Blackwell Science; Blackwell Publishing Ltd
• Subjects: Adenoma, Sweat Gland - blood supply; Adenoma, Sweat Gland - pathology; Adult; Biological and medical sciences; Dermatology; Humans; Male; Medical sciences; Sweat Gland Neoplasms - blood supply; Sweat Gland Neoplasms - pathology; Tropical medicine; Tumors of the skin and soft tissue. Premalignant lesions; Asia; Turkey; Case study; Human; Skin disease; Spiradenoma eccrine; Adenoma; Benign neoplasm; Sweat gland disease
• ISSN: 0011-9059; 1365-4632
• DOI: 10.1046/j.1365-4362.1998.00461.x

A 60-year-old man suffering from cardiac insufficiency consulted the Dermatology Department, Inönü University Turgut Ozal Medical Center, because of a bleeding tumor on his right hypochondrium. The tumor had begun as a small nodule approximately 5 years before, and had grown slowly with time. A small, superficial ulcer had appeared on the lesion approximately 6 months previously, and slight bleeding had occasionally occurred. The patient had no pain and no other complaint except bleeding. Dermatologic examination revealed a violaceous, ulcerated, and bleeding tumoral lesion below the mid-portion of the right costochondral line. The tumor was a non-tender, hemispheric mass, approximately 3-4 cm in size, adherent to the epidermis, but movable on the underlying tissue. An incisional biopsy was performed with diagnoses of dermatofibrosarcoma protuberans and desmoid tumor. Histopathologic examination revealed prominent blood-filled vascular spaces and clearly delimited cords, showing two types of cell. The vascular spaces contained a periodic acid-Schiff (PAS)-positive, granular, eosinophilic material. There was no malignant transformation. The lesion was totally excised and primarily sutured.