An Unusual Case of Squamoid Eccrine Carcinoma of the Abdominal Wall with Inguinal Nodal Metastases: A Case Report and Review of the Literature

Document Type : Case Report

Authors

1 University of the Sciences, Philadelphia, United States

2 College of Medicine, University of Illinois at Chicago, Chicago, United States

3 Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, United States

4 Division of Plastic and Reconstructive Surgery, Fox Chase Cancer Center, Philadelphia, United States

5 Department of Hematology/Oncology, Fox Chase Cancer Center, Philadelphia, United States

6 Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, United States

7 Department of Pathology, Fox Chase Cancer Center, Philadelphia, United States

8 Department of Surgical Oncology, Philadelphia, United States

Abstract

Introduction: Squamoid eccrine carcinoma is a very rare carcinoma with few reported cases in the literature. As a result, there is
limited guidance on management and follow-up of these cases.
Case Presentation: We describe the case of a 39 year-old male with a large painful squamoid eccrine carcinoma of the right lower
abdominal wall with inguinal nodal involvement. He underwent radical resection, superficial groin dissection, transposition of a
sartorius muscleflap, anda pedicled anterolateral thigh perforatorflapfor reconstruction. The postoperative coursewasuneventful
apart from a postoperative seroma which was treated with aspiration. He underwent adjuvant radiation following full recovery
from his procedure.
Conclusions: Our case study represents a rare, large squamoid eccrine carcinoma of the abdominal wall treated with radical resection,
superficial groin dissection, transposition of a sartorius muscle flap, and a pedicled anterolateral thigh perforator flap for
reconstruction. Due to the limited number of reported cases, there are no guidelines for management of squamoid eccrine carcinomas.
With this case report we aim to increase awareness of this rare carcinoma, and to summarize the existing literature on
management of squamoid eccrine carcinoma.
 

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