We describe a 74-year-old Japanese man with a pigmented eccrine poroca
rcinoma (malignant eccrine poroma). The patient had a brown-black nodu
le measuring 9x7mm on his leg. Microscopically, the tumour, which had
invaded the reticular dermis, was composed of poroid cells with large
and small intracytoplasmic lumina. The tumour cells showed cytological
pleomorphism and frequent, often abnormal, mitotic figures. Many dend
ritic melanocytes containing melanin were intermingled with the tumour
cells. The poroid cells were diffusely positive for cytokeratin, whil
e the dendritic cells containing melanin were positive for S-100 prote
in and HMB-45. Ten months of follow-up revealed no recurrence or metas
tasis of the tumour.