Eccrine acrospiroma of neck in a 3-year-old female child

Summary 

Eccrine acrospiromas are tumours derived from eccrine sweat gland epithelium. They are usually found in middle-aged people with equal sex predilection. Most of such tumours are found on extremities. We present a case of 3-year-old female child who presented to our institute with a swelling in neck just above the medial end of right clavicle. Thorough clinical, laboratory and radiological investigations were carried out. Taking into consideration the age of the patient and other clinical features a diagnosis of sebaceous cyst of neck was arrived at. The mass was excised under general anaesthesia and sent for histopathological examination. The pathological report established a diagnosis of benign eccrine acrospiroma. The patient has no complaint postoperatively and has been advised to be on regular follow up due to reported cases of recurrence and malignant transformation. Such case of eccrine acrospiroma is rare and has never been reported in the literature and thus should be kept in mind while dealing with neck swellings especially in children taking into consideration its malignant potential.

Keywords: Eccrine acrospiroma, Hidradenoma, Clear cell hidradenoma, Sebaceous cyst, Poroma, Child, Neck, Malignant eccrine acrospiroma, Epidemiology