Chandramouli, Mathangi and Sarma, Digvijay and Tejaswy, Kapil and Rodrigues, Gabriel (2016) Syringocystadenoma papilliferum of the scalp arising from a nevus sebaceous. Journal of Cutaneous and Aesthetic Surgery, 9 (3). pp. 204-206.

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Abstract

Syringocystadenoma papilliferum (SCAP) is a rare, benign tumour with varied presentations that arises from the apocrine glands and at times can lead to a diagnostic dilemma. A 53‑year‑old male presented with a 40‑year history of a scalp nodule and a recent 2‑year change in its character, and a sanguinopurulent discharge. Examination revealed a 4 cm × 2 cm firm nodule upon left side of the scalp vertex, actively discharging pus and blood. No regional lymph nodes were noticeably palpable. Incision biopsy performed elsewhere showed evidence of a squamous cell carcinoma‑in‑situ. He underwent a wide local excision with a bilobed flap reconstruction. Histopathologically, the lesion was reported to be SCAP. On follow‑up, the patient has since remained asymptomatic with an acceptable cosmetic recovery.

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