title: Giant vascular eccrine spiradenoma.
abstract: A 60-year-old man suffering from cardiac insufficiency consulted the Dermatology Department, Inönü University Turgut Ozal Medical Center, because of a bleeding tumor on his right hypochondrium. The tumor had begun as a small nodule approximately 5 years before, and had grown slowly with time. A small, superficial ulcer had appeared on the lesion approximately 6 months previously, and slight bleeding had occasionally occurred. The patient had no pain and no other complaint except bleeding. Dermatologic examination revealed a violaceous, ulcerated, and bleeding tumoral lesion below the mid-portion of the right costochondral line. The tumor was a non-tender, hemispheric mass, approximately 3-4 cm in size, adherent to the epidermis, but movable on the underlying tissue. An incisional biopsy was performed with diagnoses of dermatofibrosarcoma protuberans and desmoid tumor. Histopathologic examination revealed prominent blood-filled vascular spaces and clearly delimited cords, showing two types of cell. The vascular spaces contained a periodic acid-Schiff (PAS)-positive, granular, eosinophilic material. There was no malignant transformation. The lesion was totally excised and primarily sutured.
authors.affiliation: Inönü University Turgut Ozal Medical Center, Department of Dermatology, Malatya, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Senol
authors.forename: A
authors.initials: A
authors.lastname: Ozcan
authors.forename: S
authors.initials: S
authors.lastname: Sasmaz
authors.forename: S
authors.initials: S
authors.lastname: Ozen
authors.forename: H
authors.initials: H
authors.lastname: Ciralik
mesh_terms: D006607:Adenoma, Sweat Gland / Q000098:blood supply / Q000473:pathology*; D000328:Adult; D006801:Humans; D008297:Male; D013544:Sweat Gland Neoplasms / Q000098:blood supply / Q000473:pathology*