Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2022; 10(29): 10708-10712
Published online Oct 16, 2022. doi: 10.12998/wjcc.v10.i29.10708
Chondroid syringoma of the lower back simulating lipoma: A case report
Qiu-Feng Huang, Yong Shao, Bo Yu, Xiao-Ping Hu
Qiu-Feng Huang, Bo Yu, Xiao-Ping Hu, Department of Dermatology, Peking University Shenzhen Hospital, Shenzhen 518035, Guangdong Province, China
Yong Shao, Shenzhen Peking University-The Hong Kong University of Science and Technology Medical Center, Biomedical Research Institute, Shenzhen 518035, Guangdong Province, China
Author contributions: Huang QF contributed to the drafting and revision of the manuscript; Shao Y contributed to the conception and designed the work that led to the submission, acquired the data, and played an important role in interpreting the results; Yu B contributed to approval of the final version; Hu XP contributed to analysis with constructive discussions.
Supported by Shenzhen Sanming Project, No. SZSM201812059; and Shenzhen Key Medical Discipline Construction Fund, No. SZXK040.
Informed consent statement: The patient gave written informed consent to the publication of her case details.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Ping Hu, PhD, Associate Professor, Department of Dermatology, Peking University Shenzhen Hospital, No. 1120 Lianhua Road, Futian District, Shenzhen 518035, Guangdong Province, China. 47776040@qq.com
Received: May 9, 2022
Peer-review started: May 9, 2022
First decision: May 30, 2022
Revised: June 10, 2022
Accepted: September 6, 2022
Article in press: September 6, 2022
Published online: October 16, 2022
Abstract
BACKGROUND

Chondroid syringoma (CS) is a rare tumor of the apocrine or eccrine glands. CS of the lower back is rare, and its clinical manifestations are similar to those of lipoma, which is a common misdiagnosis for this disease.

CASE SUMMARY

A 39-year-old woman presented with a 2-year history of an asymptomatic subcutaneous mass on the lower back. The lesions increased progressively over time. The patient denied any history. Dermatological examination showed that there was a subcutaneous mass, ranging from 3-4 cm in diameter, with a clear boundary on the lower back. The surface of the skin was smooth without ulceration or scaling. Histopathologic examination was consistent with the diagnosis of CS.

CONCLUSION

CS is a rare tumor of the apocrine or eccrine glands. It usually presents as a wellcircumscribed and single subcutaneous masses. Histopathology showed the tumor was located in the dermis, with nests, sheets, and cords of basal-like cells, mucin deposition, and chondroid structures. We herein report a case of CS located in the lower back. CS of the lower back is rare, and its clinical manifestations are similar to those of lipoma, for which it is commonly misdiagnosed.

Keywords: Chondroid syringoma, Mixed tumor, Lower back, Lipoma, Case report

Core Tip: Chondroid syringoma (CS) is a rare tumor of the apocrine or eccrine glands. It usually occurs in the nose and surrounding areas, and it is rare in the lower back. It usually presents as a well-circumscribed, slow-growing, and single subcutaneous masses. It is easy to clinically misdiagnose CS as lipoma, but histopathological examination is helpful for the diagnosis and treatment of this disease. In our case, combined with the patient’s present illness, dermatological examination, and histopathology, the patient was diagnosed with CS. After surgical resection, no recurrence was found in follow-up visits.