Skin Appendage Tumour

     

http://www.histopathology-india.net/SAClass.htm

                           HISTOPATHOLOGY-INDIA.NET

        Papillary Eccrine Adenoma

        Dr  Sampurna Roy  MD

 
   Dermpath-India

     Site created by

 Dr Sampurna Roy MD

          

http://www.histopathology-india.net/dermpath.htm

February  2010

Benign sweat gland tumours

Cysts:

Hydrocystoma -Eccrine/Apocrine

Hamartomas:

Eccrine/Apocrine naevus

Eccrine Angiomatous Hamartoma

Porokeratotic eccrine ostial naevus

Benign Neoplasms:

Syringocystadenoma Papilliferum

Hidradenoma Papilliferum

Nipple Adenoma

Syringoma

Spiradenoma

Cylindroma

Chondroid Syringoma (benign mixed tumour)

Poroma

Hidradenoma

Apocrine adenoma

Papillary eccrine adenoma

Syringofibroadenoma

Malignant sweat gland tumour 

Low grade:

Microcystic adnexal carcinoma

Eccrine epithelioma

Adenoid cystic carcinoma

Mucinous carcinoma

Primary extramammary Paget’s disease

Intermediate grade:

Porocarcinoma

Digital papillary adenocarcinoma

High grade:

Hidradenocarcinoma

Apocrine adenocarcinoma

Eccrine ductal carcinoma

Spiradenocarcinoma

Malignant cylindroma

Sebaceous tumours

Fordyce's Spots

Steatocystoma

Nevus Sebaceous

Folliculosebaceous Cystic Hamartoma

Sebaceous Hyperplasia

Sebaceoma

Sebaceous Adenoma

Sebaceous Carcinoma

Cutaneous infection and infestations

Histopathological patterns in cutaneous infections

: Bacterial, Rickettsial and Chlamydial infection

: Spirochetal Infection

: Mycoses and algal infections

 : Protozoal Infections

: Helminth Infections

: Viral Infections

Cutaneous lesion associated
with AIDS

Reporting of biopsies taken for Inflammatory Skin Diseases

Lichen planus-like lesions

Lichen Nitidus

Bullous Pemphigoid

Hailey-Hailey Disease 

Granuloma Annulare

Rheumatoid Nodule

Foreign body granuloma

                  

Papillary eccrine adenoma, a rare benign adnexal tumour, was first described in 1977. Papillary eccrine adenoma. Arch Dermatol. 1977;113(5):596-8.

Clinical presentation:  Firm or hard nodules, frequently of many years' duration, and a large proportion are situated on the extremities of black persons.

Microscopic features:

Symmetrical lesion ; Tumour is composed of dilated duct-like structures of various sizes with intraluminal papillary projections ; Ducts are lined by two or more layers of cells ; Inner layer often forms one or multiple papillae of variable complexity ; Lumina contains eosinophilic amorphous material ; Fibrous stroma around the lesion is well separated from the surrounding dermis  ; Stroma consists of patches of loosely arranged spindled cells and areas of hyalinized collagen.

Other features -  focal squamous differentiation ; clear cell change ; connection of ducts to the epidermis ; prominent nerves within the stroma.

Tubulopapillary hidradenoma' is a term proposed to describe lesions with both eccrine and apocrine differentiation. It encompasses a spectrum of lesions that includes tubular apocrine adenoma and papillary eccrine adenoma.

Immunohistochemistry:  Demonstrated immunoreactivity to S-100 protein, carcinoembryonic antigen, and epithelial membrane antigen.

Differential diagnosis: The differential diagnosis includes other cutaneous neoplasms with intraductal papillary proliferation.

              

Abstract:

Mixed tubulopapillary hidradenoma and syringocystadenoma papilliferum occurring as a verrucous tumor.J Cutan Pathol. 2003 ;30(3):206-10.

Papillary eccrine adenoma of the heel: a case report.J Foot Ankle Surg. 2000;39(4):249-52.

Papillary eccrine adenoma: immunohistochemical study and literature review.J Cutan Pathol. 1998 ;25(1):59-64.

Papillary eccrine adenoma: an ultrastructural and immunohistochemical study. Ultrastruct Pathol. 1998;22 (3):263-9.

Papillary eccrine adenoma: immunohistochemical studies of keratin expression.J Cutan Pathol. 1997;24(9):564-70.

Papillary tubular adenoma with marked tubular vacuolization. J Dermatol. 1997;24(12):777-80.

Papillary eccrine adenoma with a pomegranate-like appearance.J Dermatol. 1997;24(12):773-6.

Tubular apocrine adenoma with eccrine and apocrine immunophenotypes or papillary tubular adenoma?Am J Dermatopathol. 1995;17(5):499-505.

Papillary eccrine adenoma--a case of cutaneous sweat gland tumor with secretory and ductular differentiation.Pol J Pathol. 1994;45(4):319-22.

Is tubular apocrine adenoma a distinct clinical entity?Am J Dermatopathol. 1993;15(5):482-7.

Papillary eccrine adenoma. A histopathological and immunohistochemical study.Dermatologica. 1991;182(1):47-51.

Papillary eccrine adenoma--a light-microscopic and immunohistochemical study.Clin Exp Dermatol. 1990 ;15(6):425-8.

Papillary eccrine adenoma. A tubulopapillary hidradenoma with eccrine differentiation.Am J Dermatopathol. 1986;8(1):64-72.

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Tumours of the Hair Follicle

Hair Germ Differentiation:

Trichoepithelioma  ; Desmoplastic Trichoepithelioma ; Trichofolliculoma ;Trichoblastoma ; Cutaneous lymphadenoma ;

                          
    
Infundibular differentiation:

Trichoadenoma ; Dilated Pore of Winer ; Pilar Sheath Acanthoma ; Tumour of Follicular Infundibulum ;

Outer root sheath differentiation:
                    
Trichilemmoma ; Trichilemmal Carcinoma ; Proliferating Trichilemmal Cyst (Pilar Tumour) ;

Matrical differentiation:Pilomatrixoma and Pilomatrix Carcinoma .

 
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