European Journal of Plastic Surgery

, Volume 42, Issue 6, pp 623–627 | Cite as

Eccrine porocarcinoma of the scalp: diagnosis and importance of early surgical intervention

  • Maxime De Fré
  • Katrien Smets
  • Michal Ulicki
  • Veronique Verhoeven
  • Vasiliki Siozopoulou
  • Tine Strobbe
  • Specenier Pol
  • Olivier Aerts
  • Julien Lambert
  • Thierry Tondu
  • Filip E. F. ThiessenEmail author
Case Report


Eccrine porocarcinoma is a rare and potentially fatal malignant adnexal tumor that can arise de novo or develop from its benign precursor, poroma. Diagnosis is difficult due to its rarity and resemblance to many other (benign) skin tumors. We present the case of a 71-year-old woman presenting with a long-standing case of eccrine porocarcinoma on the scalp. After multiple incomplete excisions over the last 15 years, no metastases were found. Major reconstructive surgery was necessary after complete excision of the lesion. Complete removal of the eccrine porocarcinoma was achieved in 2 stages. The defect was closed with a large rotation flap of the scalp. No adjuvant radio- or chemotherapy was given. Twenty-one months later, the patient presented with a rapidly growing lymph node recurrence, which was treated by lymph node dissection followed by chemoradiation. This case demonstrates the consequences of suboptimal surgical treatments and follow-up of eccrine porocarcinoma and its benign precursor, poroma. Early recognition, proper pathological diagnosis, and adequate surgical treatment are highly recommended in order to obtain a good prognostic outcome.

Level of evidence: Level V, Risk/Prognostic study.


Poroma Eccrine porocarcinoma Histopathology Immunohistochemistry Mohs micrographic surgery Plastic surgery 


Conflict of interest

Maxime De Fré, Katrien Smets, Michal Ulicki, Veronique Verhoeven, Vasiliki Siozopoulou, Tine Strobbe, Specenier Pol, Olivier Aerts, Julien Lambert, Thierry Tondu, and Filip E. F. Thiessen declare that they have no conflict of interest.

Ethical approval

All applicable international, national, and/or institutional guidelines were followed.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Patient consent

Patient consent was obtained for publication of this manuscript and complementary images.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Maxime De Fré
    • 1
  • Katrien Smets
    • 2
  • Michal Ulicki
    • 2
  • Veronique Verhoeven
    • 3
  • Vasiliki Siozopoulou
    • 4
    • 5
  • Tine Strobbe
    • 2
  • Specenier Pol
    • 6
  • Olivier Aerts
    • 2
  • Julien Lambert
    • 2
  • Thierry Tondu
    • 1
    • 7
  • Filip E. F. Thiessen
    • 1
    • 7
    Email author
  1. 1.Department of Plastic, Reconstructive and Aesthetic SurgeryAntwerp University HospitalEdegemBelgium
  2. 2.Department of DermatologyAntwerp University HospitalEdegemBelgium
  3. 3.Department of Primary and Interdisciplinary Care (ELIZA) – Faculty of Medicine and Health SciencesUniversity of AntwerpAntwerpBelgium
  4. 4.Department of PathologyAntwerp University HospitalEdegemBelgium
  5. 5.University of AntwerpAntwerpBelgium
  6. 6.Department of Oncology, Faculty of Medicine and Health SciencesAntwerp University HospitalEdegemBelgium
  7. 7.ZNA Middelheim HospitalAntwerpBelgium

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