Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 8 Issue 3

Uncommon Tumor of the Foot: Malignant Chondroid Syringoma. Case Report

Bao Carlos*, Rega Leonel and Perez Gabriela

Department of Ortophedics and Traumathology, Hospital José María Penna, Argentina

*Corresponding Author: Bao Carlos, Department of Ortophedics and Traumathology, Hospital José María Penna, Argentina.

Received: September 28, 2023; Published: February 08, 2024

Abstract

Introduction: Chondroid Syringoma (CS) is a rare benign tumor with mixed epithelial and mesenchymal components, making its diagnosis challenging due to its silent clinical presentation and resemblance to other skin lesions.

Case Report: We present a case of malignant chondroid syringoma in a 55-year-old male with a painless, slow-growing tumor on the dorsal aspect of the left forefoot. The tumor was successfully excised with safety margins, and the patient had an uneventful postoperative course. Histological examination confirmed the diagnosis of malignant chondroid syringoma based on the presence of infiltrative growth, pleomorphism, increased mitoses, and necrosis in the epithelial component. The tumor's histological features showed a biphasic appearance with both sweat epithelial and mucoid, fibrous, or chondroid interstitial components.

Discussion: Chondroid Syringoma's histogenetic origin remains unclear, and it is commonly misdiagnosed as other skin lesions due to its rarity and indolent nature. Malignant variants are infrequent but may exhibit local recurrence and metastasis. Proper diagnosis relies on histopathological examination, and wide excision is recommended to reduce the risk of recurrence. Radiotherapy and chemotherapy have shown limited efficacy. Regular patient follow-up is crucial for early detection of any recurrence or metastasis.

Conclusion: Awareness of the characteristic features of this tumor can aid in its prompt identification and management.

 Keywords: Malignant; Chondroid Syringoma; Foot; Uncommon Tumor

References

  1. Franco Joanna Pimenta de Araujo., et al. “Caso Para Diagnóstico”. Anais Brasileiros de Dermatologia6 (2013): 997-999.
  2. BANERJEE S S., et al. “Chondroid Syringoma with Hyaline Cell Change”. Histopathology3 (1993): 235-246.
  3. Barreto Carol A., et al. “Intraosseous Chondroid Syringoma of the Hallux”. Journal of the American Academy of Dermatology 2 (1994): 374-378.
  4. Sundling Rebecca A., et al. “Chondroid Syringoma: A Case Report in the Foot and Ankle”. Foot and Ankle Specialist2 (2017): 167-169.
  5. Wan Huiying., et al. “Clinical and Pathological Study on Mixed Tumors of the Skin”. Medicine36 (2018).
  6. Gutiérrez-díaz-ceballos Ma Esther., et al. “Siringoma Condroide Con Cambios de Células Hialinas”. Informe de Un Caso 4 (2009): 211-214.
  7. Madi Khaled., et al. “Chondroid Syringoma of the Foot: A Rare Diagnosis”. Journal of Foot and Ankle Surgery2 (2016): 373-378.
  8. Tunia María Sánchez Ramos., et al. “Siringoma Condroide. Presentación de Un Caso”. Revista Habanera de Ciencias Médicas5 (2016): 752-758.
  9. Beals Timothy C., et al. “Chondroid Syringoma: Case Report of a Highly Unusual Foot Tumor”. Foot and Ankle International 4 (2010): 333-335.
  10. Iglesias F Dominguez., et al. “Chondroid Syringoma: A Histological and Immunohistochemical Study of 15 Cases”. Histopathology 4 (1990): 311-317.
  11. Yavuzer Reha., et al. “Chondroid Syringoma: A Diagnosis More Frequent than Expected”. Dermatologic Surgery 2 (2003): 179-181.
  12. Ryu Jung Kyu., et al. “Sonographic and Magnetic Resonance Imaging Findings of a Chondroid Syringoma of the Heel Case Report and Literature Review”. Journal of Ultrasound in Medicine 26 (2007): 1435-1439.
  13. Takahashi Hayato., et al. “Malignant Chondroid Syringoma with Bone Invasion: A Case Report and Review of the Literature”. American Journal of Dermatopathology5 (2004): 403-406.
  14. Watson JAS., et al. “Malignant Chondroid Syringoma—a Rare Cause of Secondary Bone Tumour”. Clinical and Experimental Dermatology4 (1991): 306-307.
  15. KHOO TK and KB TZE. “A Sweat Gland Tumour of the Mixed-Salivary Type of the Right Middle Toe”. The Medical Journal of Malaysia 19 (1964): 128-133.
  16. Lu Hui., et al. “A Rare Large Cutaneous Chondroid Syringoma Involving a Toe”. Medicine (United States)5 (2018): 1-5.
  17. Toback TG and CJ Toback. “Chondroid Syringoma. A Review of the Literature and Case Report”. Journal of the American Podiatric Medical Association11 (1989): 563-565.
  18. Potter G K., et al. “Chondroid Syringoma in a Toe”. Cutis3 (1982): 339-341.
  19. Wagoner WL., et al. “Chondroid Syringoma. A Rare Occurrence in the Hallux”. Journal of the American Podiatric Medical Association7 (1993): 424-425.
  20. Wernham Aaron., et al. “Chondroid Syringoma of the Heel Masquerading as a Malignant Tumour: A Potential Pitfall in Diagnosis”. Australasian Journal of Dermatology1 (2020): 60-61.

Citation

Citation: Bao Carlos., et al. “Uncommon Tumor of the Foot: Malignant Chondroid Syringoma. Case Report”.Acta Scientific Medical Sciences 8.3 (2024): 44-49.

Copyright

Copyright: © 2024 Bao Carlos., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US