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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 65, Num. 5, 2003, pp. 447

Indian Journal of Surgery, Vol. 65, No. 5, Sept-Oct, 2003, pp. 447


Turban tumour? No! Chondroid syringoma

A. Rekha, Sandhya Sundaram, A. Ravi

Sri Ramachandra Medical College and Research Institute, Porur, Chennai 600116.
Address for correspondence: Dr. A. Rekha, 4/27, Mambar Street, Alandur, Chennai 16. E-mail:

Paper Received: February 2003. Paper Accepted: April 2003. Source of Support: Nil.

How to cite this article: Rekha A, Sandhya S, Ravi A. Turban tumour? No! Chondroid syringoma. Indian J Surg 2003;65:447.

Code Number: is03095

A 45-year-old woman came to the outpatient department with a solitary, slow-growing (5 years) swelling over the scalp. There was no history of pain, discharge or rapid increase in size. Examination revealed a 4x3x2 cm pedunculated, well-circumscribed swelling over the occiput (Figure 1). It was mobile and appeared to be arising from the skin. There was no skin ulceration, punctum or pigmentation. Repeated friction (while combing her hair) had caused minimal excoriation. A diagnosis of papilloma, a soft tissue tumour, was made and the same excised under local anaesthesia. Histopathology revealed the tumour to be a chondroid syringoma-a benign eccrine tumour of the skin appendages.

Benign eccrine tumours include a) syringoma, b)eccrine spiradenoma, c) eccrine poroma, d) cylindroma (turban tumour), e) eccrine acrosporoma, and f) Chondroid syringoma. Chondroid syringoma (cutaneous mixed tumour) is an uncommon well-circumscribed dermal tumour in the head and neck region with an epithelial component, set in myxoid, chondroid and fibrous stroma (a la pleomorphic adenoma). The epithelial component includes solid cords of cells as well as ductal structures, some of which show eosinophilic globules (collagenous spherulosis). Malignant eccrine tumours are also rarely seen.

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