Porocarcinoma: a review

Jilse Joshy*, Khaylen Mistry, Nick J. Levell, Birgitta van Bodegraven, Sally Vernon, Neil Rajan, Paul Craig, Zoe Claire Venables

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)

Abstract

From the first report in 1969 to the present day, diagnosis of eccrine porocarcinoma, also known simply as porocarcinoma (PC), remains a challenge. This review presents a concise update of the history, pathogenesis, epidemiology, diagnosis, management and prognosis of this rare sweat gland neoplasm. PC differentiates towards the intraepidermal spiral ducts in the eccrine gland, is more common in people aged > 60 years and often affects the head, neck and legs. PC presents as a dome-shaped papule, plaque or nodule growing over weeks to months. The exact incidence of PC is unknown but appears to be rising. Diagnosis is difficult because of variable presentations and similar clinical and histological features to cutaneous squamous cell carcinoma. Management involves removal of the tumour, usually using wide local excision or Mohs micrographic surgery. Prognosis is poor, with PC recurring after surgery in 35% of cases. Given the lack of standardized protocols and risk profiles, further studies would help improve the understanding of PC.

Original languageEnglish
Pages (from-to)1030-1035
Number of pages6
JournalClinical and Experimental Dermatology
Volume47
Issue number6
DOIs
Publication statusPublished - Jun 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022 British Association of Dermatologists.

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