Eccrine poroma, a common adnexal neoplasm, usually presents as a solit
ary, smooth, flesh-colored nodule on the foot or hand, Eccrine porocar
cinoma is extremely rare and much more variable in its morphology and
location. Both tumors can contain melanocytes and melanin, We describe
a patient with an enlarging, eroded brownish black nodule on his shou
lder. Examination of a biopsy specimen showed it to be derived from ac
rosyringium and to contain abundant melanin and scattered dendritic me
lanocytes, Eccrine poroma and porocarcinoma should be considered in th
e clinical differential diagnosis of pigmented tumors.