The Korean Journal of Cytopathology (대한세포병리학회지)

The Korean Society for Cytopathology (대한세포병리학회)
권호 표지

Fine Needle Aspiration Cytology of Eccrine Acrospiroma of the Breast - Report of a Case Misdiagnosed as Ductal Carcinoma -

유방에 발생한 에크린 선단공한산종의 세침흡인 세포소견 -관암종으로 오인한 1예 보고-

  • Kim, Young-Ok (Department of Pathology, Kosin University College of Medicine) ;
  • Jeon, Chang-Wan (Department of Surgery, Kosin University College of Medicine) ;
  • Chang, Hee-Kyung (Department of Pathology, Kosin University College of Medicine)
  • 김영옥 (고신대학교 의과대학 병리학교실) ;
  • 전창완 (고신대학교 의과대학 외과학교실) ;
  • 장희경 (고신대학교 의과대학 병리학교실)
  • Published : 2005.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Eccrine acrospiroma is a rare adnexal tumor of the skin. When the clinical presentation is that of a breast lump, diagnosis can be difficult. Also, most of the cytopathologists are not familial with the cytologic features of this tumor and this is responsible for diagnostic pitfalls. We experienced a case of eccrine acrospiroma of the right breast in a 41-year-old female, misdiagnosed by fine needle aspiration cytology (FNAC). FNAC was characterized by tight clusters or sheets of small round cells, polygonal cells, and spindle cells and tubule like structures within clusters. Myoepithelial cells were not noted in the clusters. The diagnosis of eccrine acrospiroma was confirmed by histology.

Keywords

References

  1. Rosen PP. Rosen's Pathology. In: Cutaneous Neoplasm, 2nd ed. Philadelphia: JP Lippincott Co, 2001;909
  2. Farmer ER, Hood AF. Pathology of the Skin. In: Tumors of Sweat Gland Differentiation, 1st ed. Connecticutt: Appleton and Lange, 1990;627-31
  3. Hashimoto K, Diebella JR, Lever VW. Clear cell hidradenoma: Histological, histochemical, and electron microscopic studies. Arch Dermatol 1967;96:18-38 https://doi.org/10.1001/archderm.96.1.18
  4. Abenosa P, Ackerman AB. Hidradenoma In:Abenosa P, Ackerman AB. Neoplasm with Eccrine Differentiation, 1st ed. London: Lea & Feiber, 1990;311-50
  5. Domoto H, Terahata S, Sato K, Tarnai S. Nodular hidradenoma of the breast: report of two cases with literature review. Pathol Int 1998;48:907-11 https://doi.org/10.1111/j.1440-1827.1998.tb03860.x
  6. Kumar N, Verma K. Clear cell hidradenoma simulating breast carcinoma: A diagnostic pitfall in fine needle aspiration of breast. Diagn Cytopathol 1996;15:70-2 https://doi.org/10.1002/(SICI)1097-0339(199607)15:1<70::AID-DC14>3.0.CO;2-9
  7. Lever W, Castleman B. Clear cell myoepithelioma of the skin: Report of ten cases. Am J Pathol 1952;28:691-9
  8. Finck FM, Shwinn CP, Keasby LE. Clear cell hidradenoma of the breast. Cancer 1968;22:125-35 https://doi.org/10.1002/1097-0142(196807)22:1<125::AID-CNCR2820220115>3.0.CO;2-3
  9. Cyrlak D, Barr RJ, Wile AG. Malignant eccrine acrospiroma of the breast. Int J Dermatol 1995;34:271-3 https://doi.org/10.1111/j.1365-4362.1995.tb01595.x
  10. Panico L, D'antonio A, Chiacchio R, Delrio P, Petrella G, Pettinato G. An unusual, recurring breast tumor with features of eccrine spiradenoma A case report. Am J Clin Pathol 1996;106:665-9 https://doi.org/10.1093/ajcp/106.5.665
  11. Gottschalk-Sabag S, Glick T. Fine needle aspiration of nodular hidradenoma: A case report. Diagn Cytopathol 1996;15:395-7 https://doi.org/10.1002/(SICI)1097-0339(199612)15:5<395::AID-DC7>3.0.CO;2-B
  12. Punia RS, Handa M, Mohan H. Fine needle aspiration cytology of eccrine acrospiroma. Acta Cytol 2001;45:1083-5 https://doi.org/10.1159/000328359
  13. Bosch MC, Boon ME. Fine-needle cytology of an eccrine spiradenoma of the breast: Diagnosis made by a holistic approach. Diagn Cytopathol 1992;8:366-8 https://doi.org/10.1002/dc.2840080412