Eccrine poroma is a benign, slow growing, solitary adnexal tumor. Mali
gnant degeneration may take place in longstanding solitary lesions; in
such cases cutaneous and fatal visceral metastases have occurred. Our
goal was to determine whether flow cytometry yields useful diagnostic
and prognostic information on benign and malignant eccrine poroma. Fl
ow cytometric analysis of the nuclear DNA ploidy pattern was performed
on four samples of eccrine poroma and five samples of malignant eccri
ne poroma. All the histograms of the eccrine poromas were diploid. Two
of five specimens (40%) of the eccrine porocarcinoma were aneuploid,
and the other three (60%) were diploid. The diploid pattern represents
another expression of the benignancy of eccrine poroma. Since abnorma
l DNA content is often correlated with tumor grade, the aneuploid DNA
histogram of 40% of the patients with malignant eccrine poroma is not
a surprising finding in this cytologically malignant neoplasm.