From the Research
Eccrine poromas are best managed through surgical excision, with cryotherapy being a viable alternative treatment option, as evidenced by a recent case report showing complete cure with a single session of cryotherapy 1. The primary treatment approach for eccrine poromas involves complete surgical removal with clear margins to prevent recurrence.
- The procedure is usually performed under local anesthesia on an outpatient basis, with the excised tissue sent for histopathological examination to confirm diagnosis.
- For smaller lesions, simple excision with primary closure is often sufficient, while larger lesions may require more complex reconstruction techniques.
- Alternative treatment options include electrosurgery, cryotherapy, or laser ablation, particularly for patients who are poor surgical candidates or have multiple lesions.
- Mohs micrographic surgery may be considered for recurrent cases or those in cosmetically sensitive areas to ensure complete removal while preserving healthy tissue, as supported by studies on eccrine porocarcinoma 2, 3, 4.
- Following treatment, patients should be monitored periodically for potential recurrence, especially if the initial excision was incomplete. Eccrine poromas require treatment because, although benign, they can grow, bleed, become painful, or rarely undergo malignant transformation into porocarcinoma.
- No medical therapy has proven effective for these tumors, making surgical intervention the standard of care.
- The use of cryotherapy as a treatment option is supported by a recent case report, which showed complete cure with a single session of cryotherapy 1.
- This approach may be considered for patients who are poor surgical candidates or have multiple lesions, highlighting the importance of individualized treatment planning.