Introduction: Syringoma is a common skin disease that occurs around the eye socket, more common in women, and benign usually. Malignant exophytic cases are extremely rare.
Presentation of case: Here we report a case of a 57-year-old adult male with an exophytic, long pedicle syringoma. The patient went through surgery after being hospitalized, and the postoperative pathology was determined to be syringoma. HE staining revealed the presence of tumor cell atypia, which was very malignant. During postoperative follow-up, there was no evidence of tumor recurrence or metastasis.
Discussion: Syringoma is a tumor of the sweat glands that diverge toward the terminal sweat ducts and usually produce small pupils in the skin color of light yellow or brown. The number of cases is higher in females than males, with a preference for the eyelids. There have been no reports of malignant syringoma with a pedicle that is more than 5 cm long.
Conclusion: Wide local excision (WLE) is the primary method of treatment for the malignant exophytic syringoma.
Keywords: Case report; Malignant exophytic syringoma; Surgery.
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