GIANT VASCULAR ECCRINE SPIRADENOMA

A 60-year-old man suffering from cardiac insufficiency consulted the D ermatology Department, Inonu University Turgut Ozal Medical Center, be cause of a bleeding tumor on his right hypochondrium. The tumor had be gun as a small nodule approximately 5 years before, and had grown slow ly with time. A small, superficial ulcer had appeared on the lesion ap proximately 6 months previously, and slight bleeding had occasionally occurred. The patient had no pain and no other complaint except bleedi ng. Dermatologic examination revealed a violaceous, ulcerated, and ble eding tumoral lesion below the mid-portion of the right costochondral line (Fig. 1). The tumor was a non-tender, hemispheric mass, approxima tely 3-4 cm in size, adherent to the epidermis, but movable on the und erlying tissue. An incisional biopsy was performed with diagnoses of d ermatofibrosarcoma protuberans and desmoid tumor. Histopathologic exam ination revealed prominent blood-filled vascular spaces (Fig. 2) and c learly delimited cords, showing two types of cell (Fig. 3). The vascul ar spaces contained a periodic acid-Schiff (PAS)-positive, granular, e osinophilic material. There was no malignant transformation. The lesio n was totally excised and primarily sutured.