Eccrine syringofibroadenoma (ESFA) is a rare disorder which shows diff
erentiation toward the eccrine sweat apparatus. There is a controversy
concerning the pathogenesis and precise differentiation of this tumor
. We report a case of ESFA and its differentiation pattern by an analy
sis of cytokeratin expression. Using paraffin-embedded materials, hist
opathological and immunohistochemical studies were performed. Staining
patterns of the luminal, peripheral, and inner cells of the tumor str
ands closely matched or mimicked those of the luminal, outer and inter
mediate cells of the normal eccrine dermal duct, respectively. The cas
e of ESFA reported revealed a pattern of differentiation suggestive of
an eccrine duct origin.