Ann Dermatol.  2013 Aug;25(3):348-351. 10.5021/ad.2013.25.3.348.

A Case of Eccrine Porocarcinoma: Usefulness of Immunostain for S-100 Protein in the Diagnoses of Recurrent and Metastatic Dedifferentiated Lesions

• Kurisu Y
• Tsuji M
• Yasuda E
• Shibayama

• KMID: 2265876
• DOI: http://doi.org/10.5021/ad.2013.25.3.348

Abstract

Eccrine porocarcinoma is a rare malignant tumor. Immunostain for S-100 protein, in addition to epithelial membrane antigen (EMA) and carcinoembryonic antigen (CEA), is described to be useful in the diagnosis. Herein, we report a case of eccrine porocarcinoma with immunostain for S-100 protein which was useful in diagnoses of recurrent and metastatic lesions. The primary lesion in the left inguinal region was excised, but it recurred on the same site 14 months after the resection. The recurrent lesion showed epithelioid melanocytic findings. Three months later, metastasis to the lungs was found. Since these recurrent and metastatic lesions were dedifferentiated, typical histologic findings of eccrine porocarcinoma disappeared in biopsied specimens. Nevertheless, scattered immunoreactive cells for S-100 protein were maintained in these dedifferentiated lesions. S-100 protein positive cells could be an aid to diagnose, even if histologic findings of recurrent and metastatic lesions have changed by dedifferentiation.

Keyword

Eccrine porocarcinoma; Immunohistochemistry; S100 proteins

MeSH Terms

Carcinoembryonic Antigen
Eccrine Porocarcinoma
Immunohistochemistry
Lung
Mucin-1
Neoplasm Metastasis
S100 Proteins
Carcinoembryonic Antigen
Mucin-1
S100 Proteins

Figure

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  Fig. 1 Fungated polypoid lesion in the inguinal lesion.

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  Fig. 2 Protruded elevation is formed by the lobulated infiltrative neoplasm connected to the epidermis. Tumor cells make small glandular structures (H&E, ×100).

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  Fig. 3 Immunoreactivity for carcinoembryonic antigen is found at the rims of lumens (×200).

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  Fig. 4 Immunostain for S-100 protein reveals scattered positive cells in the primary lesion (×200).

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  Fig. 5 Histologic findings of recurrent lesions. Epithelioid cells proliferate diffusely in the subcutaneous tissue (H&E, ×200).

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  Fig. 6 Immunostain for S-100 protein reveals scattered positive cells in the recurrent lesion (×200).

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