Case Letter
Papillary syringocystadenoma in an uncommon location
Giovanna de Araujo Horcel
, Juliana Milhomem, Samuel Henrique Mandelbaum, Rodrigo Ieiri
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Dermatology Service, Santa Casa de São José dos Campos, São José dos Campos, São Paulo, SP, Brazil
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"113" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Giovanna de Araujo Horcel, Juliana Milhomem, Samuel Henrique Mandelbaum, Rodrigo Ieiri" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Giovanna de Araujo" "apellidos" => "Horcel" "email" => array:1 [ 0 => "giohorcel@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Juliana" "apellidos" => "Milhomem" ] 2 => array:2 [ "nombre" => "Samuel Henrique" "apellidos" => "Mandelbaum" ] 3 => array:2 [ "nombre" => "Rodrigo" "apellidos" => "Ieiri" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Dermatology Service, Santa Casa de São José dos Campos, São José dos Campos, São Paulo, SP, Brazil" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 453 "Ancho" => 750 "Tamanyo" => 33031 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rose-colored papule on the left flank.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Papillary syringocystadenoma is a rare neoplasm of sweat glands, which is present at birth in 50% of cases.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> It has predominantly apocrine differentiation, although an eccrine origin has been described in some reports.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2,3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">It usually presents as papule or plaque with a crustal surface that occurs almost exclusively in the head and cervical region.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">This report details the clinical observations as well as the dermatoscopic and histopathological findings of a case in an unusual location.</p><p id="par0020" class="elsevierStylePara elsevierViewall">A 6-year-old male, a native and resident of São José dos Campos, SP, presented a lesion with progressive growth five years ago on the left flank. At the dermatological examination, a papule of pink-erythematous coloration was observed, with a smooth surface and a fibroelastic consistency, measuring 5<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3<span class="elsevierStyleHsp" style=""></span>mm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Dermoscopic examination showed rounded structures of whitish-yellow color separated by whitish linear structures on an erythematous background (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The patient was referred for excision. Histopathological examination revealed the following: cystic invaginations covered by cells, sometimes squamous and sometimes columnar, with papilliferous projections to the light; tubular glands with large lights, covered by apocrine cells (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Papillary syringocystadenoma (SCAP) is a rare adnexal tumor most often derived from apocrine cells.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">3,4</span></a> It predominates in children and adolescents, and is observed at birth in 50% of cases,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> which differs from the case reported above.</p><p id="par0030" class="elsevierStylePara elsevierViewall">In 75% of cases, it is located on the head or cervical region. Some cases in other topographies have already been described (scrotal region, vulva, back, abdomen, and axilla). These locations, as well as that of the case described, are even rarer. When located on the scalp, it may be associated with the sebaceous nevus of Jadassohn.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Despite variable clinical presentation, a papule plaque is the most commonly found lesion type. In the majority, it is asymptomatic, but it can present pruritus, pain, and/or bleeding; it usually presents progressive growth, as in the case described.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1,4</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">To date, articles on the dermoscopic findings of SCAP are scarce. There is a description of a horseshoe vascular pattern, which was not observed in the present case.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">3,5</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">SCAP can infect, bleed, ulcerate, and, in rare cases, it can progress to basal cell carcinoma (9%) or papillary syringo-cystadenocarcinoma. For these reasons, it was decided to perform the excision.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0050" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Authors’ contribution</span><p id="par0055" class="elsevierStylePara elsevierViewall">Giovanna de Araujo Horcel: Conception and planning of the study; composition of the manuscript.</p><p id="par0060" class="elsevierStylePara elsevierViewall">Juliana Milhomem: Conception and planning of the study.</p><p id="par0065" class="elsevierStylePara elsevierViewall">Samuel Henrique Mandelbaum: Critical review of the literature; critical review of the manuscript.</p><p id="par0070" class="elsevierStylePara elsevierViewall">Rodrigo Ieiri: Participation in the design of the study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflicts of interest</span><p id="par0075" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial support" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Authors’ contribution" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-08-30" "fechaAceptado" => "2019-02-11" "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">How to cite this article: Horcel GA, Milhomem J, Mandelbaum SH, Ieiri R. Papillary syringocystadenoma in an uncommon location. An Bras Dermatol. 2020;95:112–3.</p>" ] 1 => array:2 [ "etiqueta" => "☆☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Study conducted at the Dermatology Service, Santa Casa de São José dos Campos, São José dos Campos São Paulo, Brazil.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 453 "Ancho" => 750 "Tamanyo" => 33031 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rose-colored papule on the left flank.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 749 "Ancho" => 750 "Tamanyo" => 45790 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Dermoscopic examination showing rounded yellowish-whitish structures separated by linear whitish structures on an erythematous background.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 748 "Ancho" => 750 "Tamanyo" => 129802 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Histopathological examination: cystic cavity coated by basal cuboidal cells and columnar apocrine cells (Hematoxylin & eosin, ×400).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Congenital syringocystadenoma papilliferum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. 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| 2024 Janeiro | 82 | 57 | 139 |
| 2023 Dezembro | 57 | 70 | 127 |
| 2023 Novembro | 75 | 71 | 146 |
| 2023 Outubro | 73 | 80 | 153 |
| 2023 Setembro | 71 | 75 | 146 |
| 2023 Agosto | 55 | 39 | 94 |
| 2023 Julho | 112 | 48 | 160 |
| 2023 Junho | 90 | 39 | 129 |
| 2023 Maio | 58 | 24 | 82 |
| 2023 Abril | 30 | 22 | 52 |
| 2023 Março | 76 | 44 | 120 |
| 2023 Fevereiro | 45 | 35 | 80 |
| 2023 Janeiro | 40 | 41 | 81 |
| 2022 Dezembro | 41 | 29 | 70 |
| 2022 Novembro | 50 | 51 | 101 |
| 2022 Outubro | 52 | 56 | 108 |
| 2022 Setembro | 42 | 51 | 93 |
| 2022 Agosto | 45 | 43 | 88 |
| 2022 Julho | 35 | 50 | 85 |
| 2022 Junho | 41 | 66 | 107 |
| 2022 Maio | 27 | 43 | 70 |
| 2022 Abril | 31 | 47 | 78 |
| 2022 Março | 35 | 66 | 101 |
| 2022 Fevereiro | 26 | 29 | 55 |
| 2022 Janeiro | 33 | 70 | 103 |
| 2021 Dezembro | 36 | 48 | 84 |
| 2021 Novembro | 28 | 52 | 80 |
| 2021 Outubro | 42 | 93 | 135 |
| 2021 Setembro | 30 | 42 | 72 |
| 2021 Agosto | 37 | 52 | 89 |
| 2021 Julho | 31 | 52 | 83 |
| 2021 Junho | 28 | 47 | 75 |
| 2021 Maio | 32 | 68 | 100 |
| 2021 Abril | 114 | 162 | 276 |
| 2021 Março | 49 | 41 | 90 |
| 2021 Fevereiro | 34 | 18 | 52 |
| 2021 Janeiro | 27 | 14 | 41 |
| 2020 Dezembro | 34 | 22 | 56 |
| 2020 Novembro | 40 | 9 | 49 |
| 2020 Outubro | 29 | 11 | 40 |
| 2020 Setembro | 15 | 8 | 23 |
| 2020 Agosto | 16 | 10 | 26 |
| 2020 Julho | 20 | 13 | 33 |
| 2020 Junho | 17 | 11 | 28 |
| 2020 Maio | 30 | 11 | 41 |
| 2020 Abril | 2 | 1 | 3 |
| 2020 Março | 8 | 3 | 11 |
| 2020 Janeiro | 0 | 4 | 4 |
| 2019 Dezembro | 0 | 4 | 4 |
Mostrar tudo
