Lim SB, Kwon KY, Kim H, Lim SY, Koh IC. Porocarcinoma in a palm reconstructed with a full thickness skin graft: A case report. World J Clin Cases 2024; 12(3): 665-670 [PMID: 38322477 DOI: 10.12998/wjcc.v12.i3.665]
Corresponding Author of This Article
In Chang Koh, MD, PhD, Doctor, Full Professor, Department of Plastic and Reconstructive Surgery, Konyang University Medical Center, Konyang University of College of Medicine, No. 158 Gwanjeodong-ro, Daejeon 35365, South Korea. ihns@naver.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 26, 2024; 12(3): 665-670 Published online Jan 26, 2024. doi: 10.12998/wjcc.v12.i3.665
Porocarcinoma in a palm reconstructed with a full thickness skin graft: A case report
Seok Beom Lim, Kun Young Kwon, Hoon Kim, Soo Yeon Lim, In Chang Koh
Seok Beom Lim, Hoon Kim, Soo Yeon Lim, In Chang Koh, Department of Plastic and Reconstructive Surgery, Konyang University Medical Center, Konyang University of College of Medicine, Daejeon 35365, South Korea
Kun Young Kwon, Department of Pathology, Konyang University Medical Center, Konyang University of College of Medicine, Daejeon 35365, South Korea
Author contributions: Lim SB, Kwon KY, Kim H, Lim SY, and Koh IC designed the clinical case report; Lim SB and Koh IC performed the research; Lim SB, Kwon KY, Kim H, Lim SY, and Koh IC analyzed the data and wrote the manuscript; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: In Chang Koh, MD, PhD, Doctor, Full Professor, Department of Plastic and Reconstructive Surgery, Konyang University Medical Center, Konyang University of College of Medicine, No. 158 Gwanjeodong-ro, Daejeon 35365, South Korea. ihns@naver.com
Received: November 22, 2023 Peer-review started: November 22, 2023 First decision: December 15, 2023 Revised: December 24, 2023 Accepted: January 4, 2024 Article in press: January 4, 2024 Published online: January 26, 2024 Processing time: 57 Days and 1.2 Hours
Abstract
BACKGROUND
Porocarcinoma is a rare type of skin cancer that originates from sweat gland tumors. It is an aggressive malignant skin cancer that is difficult to diagnose clinically owing to its rarity and similarity to squamous cell carcinoma (SCC).
CASE SUMMARY
This case involved a 92-year-old woman, a farmer by profession, presented with an exophytic and verrucous mass on her left palm that had formed 2 years prior and caused chronic pain and frequent bleeding. Initially, the patient was diagnosed with SCC using a punch biopsy; however, a repeat biopsy with additional immunohistochemical tests was performed for porocarcinoma. Ultimately, the patient was diagnosed with porocarcinoma and reconstruction was planned using a full-thickness skin graft. After treatment, the range of motion of the palm was preserved, and the aesthetic outcome was favorable. At 6 mo of follow-up, the patient was satisfied with the outcome.
CONCLUSION
Porocarcinoma is commonly misdiagnosed as SCC; therefore, clinicians should consider porocarcinomas when evaluating mass-like lesions on the hands.
Core Tip: Porocarcinoma is rare malignant skin tumor, which accounts for approximately 0.005% to 0.01% of cutaneous carcinomas. Among these cases, the occurrence of porocarcinoma in the hands is even rarer. Herein, we report a rare case of porocarcinoma in the palm, including the clinicopathological characteristics, treatment, and prognosis.
