title: Not all stubbed toes are innocuous--A case report of rare malignant eccrine spiradenoma (spiradenocarcinoma) of the toe.
abstract: Malignant eccrine spiradenoma (MES) is a rare adnexal tumour derived from cutaneous sweat glands. We describe a case of MES arising on the tip of the right middle toe. The lesion had been managed as a non-specific chronic ulcer for 4 years. The lesion was treated by elective amputation. We wish to emphasise through this case report the importance of keeping this rare but potentially lethal tumour in mind when managing chronic non-healing ulcers in extremities.
authors.affiliation: Department of Orthopaedics and Trauma Surgery, TORT Centre, Ninewells Hospital, Dundee DD1 9SY, Scotland, United Kingdom. arpitjariwala@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Jariwala
authors.forename: Alan
authors.initials: A
authors.lastname: Evans
authors.forename: G
authors.initials: G
authors.lastname: McLeod
mesh_terms: D018250:Acrospiroma / Q000175:diagnosis* / Q000601:surgery; D000671:Amputation, Surgical / Q000379:methods; D003937:Diagnosis, Differential; D017558:Elective Surgical Procedures / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013544:Sweat Gland Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014034:Toes