The
eccrine porocarcinoma is a rare adnexal
tumor of human skin. It has been related to the acrosyringeum of the sweat gland. An immunohistochemical study on
paraffin sections of eight porocarcinomas and a control group of 29
poromas was conducted to investigate the differentiation of porocarcinomas.
Antibodies against (neuro-) glandular
antigens and selected intermediate filaments were used for indirect immunoperoxidase staining with amino ethyl
carbazole. Porocarcinomas disclosed variable amounts of cells labeled with CEA, S100A, LS59, NKI/C-3, Cam 5.2, Vim9(1), and wide spectrum
keratin. Cellular phenotypes showed greater variability than the benign
poromas. The immunostaining patterns of porocarcinomas suggest a differentiation program towards inner duct cells and myoepithelium thereby questioning their classification as acrosyringeal
neoplasms.