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Medicina Legal de Costa Rica
On-line version ISSN 2215-5287Print version ISSN 1409-0015
Abstract
ABBAS CHAKHTOURA, Jad; RODRIGUEZ ROJAS, Greivin and GONZALEZ RAMIREZ, Daniel. Porocarcinoma Ecrino. Med. leg. Costa Rica [online]. 2017, vol.34, n.1, pp.353-361. ISSN 2215-5287.
Eccrine porocarcinoma is a rare type of skin cáncer arising from the intraepidermal portion of eccrine sweat glands, representing no more tan 0.01% of all cutaneous tumors. 20% of the Eccrine porocarcinoma will recur and 20% will metastasize to regional lymph nodes. Few cases of distant metastases has been reported . There is a mortality rate of 67% in patients with metastases. The diagnosis is primarily based on histopathologic findings and complementary immunohistochemistry for differential diagnosis mainly with more frequent skin cáncer.
Neither chemotherapy nor radiation therapy has been proven to be of clinical benefit in treating this type of carcinoma. It is considered that the management should be based on surgical resection and electrochemotherapy.
Keywords : Eccrine porocarcinoma; eccrine poroma; sweat glands; metastases; lymph nodes; Epithelial membrane antigen (EMA); carcinoembrionic antigen (CEA); p53; Cytokeratin.