Giant vascular eccrine spiradenoma

Senol M., Ozcan A., Sasmaz S., Ozen S., Ciralik H.

INTERNATIONAL JOURNAL OF DERMATOLOGY, cilt.37, ss.221-223, 1998 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 37 Konu: 3
  • Basım Tarihi: 1998
  • Doi Numarası: 10.1046/j.1365-4362.1998.00461.x
  • Sayfa Sayıları: ss.221-223


A 60-year-old man suffering from cardiac insufficiency consulted the Dermatology Department, Inonu University Turgut Ozal Medical Center, because of a bleeding tumor on his right hypochondrium. The tumor had begun as a small nodule approximately 5 years before, and had grown slowly with time. A small, superficial ulcer had appeared on the lesion approximately 6 months previously, and slight bleeding had occasionally occurred. The patient had no pain and no other complaint except bleeding. Dermatologic examination revealed a violaceous, ulcerated, and bleeding tumoral lesion below the mid-portion of the right costochondral line (Fig. 1). The tumor was a non-tender, hemispheric mass, approximately 3-4 cm in size, adherent to the epidermis, but movable on the underlying tissue. An incisional biopsy was performed with diagnoses of dermatofibrosarcoma protuberans and desmoid tumor. Histopathologic examination revealed prominent blood-filled vascular spaces (Fig. 2) and clearly delimited cords, showing two types of cell (Fig. 3). The vascular spaces contained a periodic acid-Schiff (PAS)-positive, granular, eosinophilic material. There was no malignant transformation. The lesion was totally excised and primarily sutured.