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| Year:
2016 |
Month:
January
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Volume:
5 |
Issue:
1 |
Page:
22 - 25 |
A Clinico-histopathological Study of Appendageal Skin Tumours Over A Period of Four Years in A Tertiary Care Center
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Correspondence
Praveen Kumar Shanmugam Reddy, Arakali Lakshminarayana Shyam Prasad, Tharayil Kunneth Sumathy
Kanakapura Nanjundaswamy Shivaswamy, Nethravathi Ajjanahalli Rangaiah,
Dr. Praveen Kumar Shanmugam Reddy,
189, T2, 3rd Main, 2nd Cross, 1st Block, Koramangala, Bangalore-560034, India.
E-mail: drpraveen.1982@gmail.com :
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Introduction: Appendageal tumours arise from pilo sebaceous apparatus, eccrine and apocrine sweat glands. A great majority of these tumours are benign in nature. A clinico-histopathological co-relation is essential for a final diagnosis.
Aim: To document the clinical and histopathological features in confirmed cases of appendageal tumours.
Materials and Methods: All patients with a confirmed histopathological diagnosis of appendageal tumours over a period of 4 years (2009-2012) were included. The clinical and histological findings were correlated.
Results: 25 cases of appendageal tumours were detected on histopathology. They were found in patients in the age group of 6 -65yrs,with a M:F ratio of 1.7:1. 24 tumours were benign and 1 was premalignant. The tumours were further classified into eccrine – 8 cases (32%), Sebaceous-11 (44%), apocrine – 1 (4%) and of hair follicle – 5 (20%) origin. The most common Eccrine tumour was syringoma – 4 / 8 (50%), which presented with skin coloured papules over the infraorbital area. Eccrine hidrocystoma presented with a similar morphology along with a few vesicles, with summer exacerbation. The most common sebaceous tumour was sebaceous hyperplasia–7/ 11 (63.6%),and hair follicle tumour was pilomatricoma – 4/5 (80%), of which 3 presented as firm to hard skin coloured nodules and one as a fleshy nodule over the arm and Dimple-sign was elicited in all of the tumours.
Conclusion: Appendageal tumours are relatively rare tumours, often difficult to diagnose clinically. Confirmation of diagnosis is usually by histopathology.
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