MAMMOTH VASCULAR ECCRINE SPIRADENOMA - VASCULAR ECCRINE SPIRADENOMA OF UNUSUALLY LARGE SIZE

Context: Giant Vascular eccrine spiradenoma is a distinct unusual variant of eccrine spiradenoma characterized by extensive vascularity and hemorrhage accompanied by a large size, as compared to the usual eccrine spiradenoma. As a result, clinically and histopathologically it can be mistaken for an angiomatous or a malignant lesion. Also the published reports of giant vascular eccrine spiradenoma depicts the fact that these giant vascular eccrine spiradenoma are no more than 5 cm in size Case report: A 65 year old male patient presented with a mamoth sized i.e., 10 x 6 cm mass in the inguinal region. Clinically and on gross examination a diagnosis of angiosarcoma was made. However a diagnosis of vascular eccrine spiradenoma was made. Conclusion: We propose the term mammoth vascular eccrine spiradenoma for this unusual giagantic variant of vascular eccrine spiradenoma. Awareness of the entity and histopathologic examination will prevent whirlwind of appointments with oncology and enable accurate management decisions.