A Case of Mohs Micrographic Surgery for Facial Porocarcinoma in an Adolescent and Literature Review.
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INTRODUCTION: Eccrine porocarcinoma (EPC), the most common malignant tumor of the eccrine sweat glands, accounts for approximately 0.005%-0.01% of all skin malignancies. However, a standard treatment for EPC is currently lacking. Many previous studies demonstrated that it mainly occurs in the elderly and is extremely rare in adolescents. Here, we report a case of Mohs micrographic surgery for facial porocarcinoma in an adolescent patient. CASE: A 19-year-old male adolescent was admitted to the hospital with a 6-month history of a gradually enlarging itchy brown mass in the right nasolabial sulcus. After a pathological examination of the skin biopsy in the outpatient department, he was admitted to the hospital for Mohs surgery. Postoperatively, the wound defect was repaired using a local flap. RESULTS: The patient recovered well after the surgery, and no recurrence was observed after 35 months of follow-up. CONCLUSION: Our case demonstrated the effective early diagnosis and surgical intervention of EPC.