Eccrine spiradenoma presenting as leg swelling: A case report of rare presentation
Keywords:Adnexal tumors, eccrine, spiradenoma
Eccrine spiradenoma (ES) is an uncommon benign adnexal tumor of the skin. The highest rate of incidence is observed among
young adults, without any sex predilection. The most commont site of presentation is the head and neck and ventral aspect of
the trunk. We report a case of 80-year-old male who presented with leg swelling for the past 25 years. Cytosmear showed tight
clusters of multilayered, uniform, cuboidal cells arranged at places around pink hyaline material. Cells were uniform with scant
cytoplasm, round-to-ovoid nuclei, and inconspicuous nucleoli. A differential diagnosis of skin adnexal tumor and adenoid cystic
carcinoma was considered. The histologic findings confirmed ES. Cytological features of ES are sparsely reported in the literature.
Although histopathological examination is considered to be the gold standard with characteristic diagnostic features, cytology
can also play an important role in the management of such rare adnexal tumors.
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