Volume : VII, Issue : VIII, August - 2018

Reconstruction of a pre-auricular defect due to a benign sweat adenoma mimicking Basal Cell Carcinoma : A Case report

Dr. C Selvakumar, Dr. N. A Gunasekaran, Dr. Badamutlang Dympep, Prof. M Sridharan

Abstract :

 A 60 years old fair complexion lady, presented with a left sided pre–auricular lesion, clinically suspected as a basal cell carcinoma. The patient was

asymptomatic with no metastasis. Wide local excision of the tumour using a face–lift type incision was done with adequate skin margins around the
lesion was taken. The primary defects of the cheek, pre–auricular region and components of the ear were reconstructed using a retro–auricular
superiorly based pedicle flap. Biopsy of the lesion revealed a benign lesion of the sweat gland known as Eccrine poroma. Porcine eccrinale is a
benign tumor of sweat gland composed of epithelial cells with eccrine type distal tubular differentiation. It commonly occurs in middle or elderly
age group presenting as a painless, soft to firm, solitary mass with variable size of 2–20mm (1) . Hence skin lesions in the elderly can be confusing
especially between the benign and the malignant form. From this case we have learned that a thorough planning for reconstruction of the resultant
defect should be worked up before the excision of the lesion, so that the patient will get a clear margin from the suspected malignancy and at the
same time achieved a good aesthetic outcome.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. C Selvakumar, Dr. N.A Gunasekaran, Dr. Badamutlang Dympep, Prof. M Sridharan, Reconstruction of a pre–auricular defect due to a benign sweat adenoma mimicking Basal Cell Carcinoma : A Case report , INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-8 | August-2018


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