Diagnosis: Poroma.
MICROSCOPIC FINDINGS AND CLINICAL COURSE
Histologic examination revealed a large, symmetric neoplasm consisting of digitated epidermal hyperplasia with hypergranulosis (Figure 2). In the dermis, there were collections of small epithelial cells with uniform nuclei and scant cytoplasm, in which there were occasional small ductal and tubular structures (Figure 3). There were prominent anastomoses between the epithelial collections of cells and the epidermis. The stroma was vascular and slightly edematous. The lesion was fully excised, with no recurrence noted after 2 years.
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DISCUSSION
Poromas are uncommon adnexal neoplasms first described by Goldman et al1 in 1956. They present as solitary, slow growing papules in adults older than 40 years,2 though cases have been reported in children.3 Initially, poromas were thought to arise predominantly on acral sites, where the concentration of eccrine glands is the highest,4 which is still a popular-held belief. However, a more recent study of 353 cases . . . [Full Text of this Article]