DOI: 10.36347/sjmcr.2016.v04i04.002

Pages: 189-191

Eccrine Syringo fibro adenoma (ESFA) is a benign adnexal tumour thought to be of eccrine origin also named syringo fibro adenoma of Mascaro, after the man who first described this tumour. It typically occurs as a solitary nodule on the extremities of an elderly person. Clinically, solitary ESFA is typically a nonhereditary verrucous growth. Histological findings typically show a proliferation of anastomosing strands, cords, and columns of monomorphous epithelial cells that harboureccrine duct formations embedded in a fibro vascularstroma. We report a case of 19 year old male who presented with a cauliflower growth over left foot measuring 11x11x3cm with lymphoedema and past history of trauma and thorn pricks. Clinical diagnosis was kept as lymphodema with chromoblastomycosis. Incisional biopsy report was inconclusive. So wide local excision of the mass was done and final diagnosis of ESFA with lymphoedema was offered. In the reviewed literature, only 80 cases have been reported till now. But cauliflower like growth has not been reported in the gross morphology in any of the cases. So considering cauliflower like growth, this case is a very rare presentation of ESFA .Thus this case is extremely rare in gross morphology as well as clinical presentation.