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Quiz: August 2010


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What is your diagnosis for this 85-year-old woman?

She has had this solitary tumor on her foot since about 4 years ago.

 

 

 

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Diagnosis: Eccrine Poroma (EP)

Omid Zargari, MD, FAAD:

A poroma is a benign adnexal neoplasm composed of epithelial cells that show tubular differentiation.

Eccrine Poroma, first described by Pinkus et al., usually occurs on the sole of the foot in middle-aged or elderly people as a solitary lesion, but the tumors may occur in clusters (poromatosis). Clinically, It typically present as a sharply demarcated, soft erythematous 2 to 12 mm papule or nodule that may be sessile or pedunculated.

Regarding that the diagnosis is based on specific histopathological criteria surgical excision of the entire lesion is recommended.

 


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