“…2 Studies of large numbers of NS found syringocystadenoma papilliferum and trichoblastoma/basal cell carcinoma to be the most common. [3][4][5] Less frequent neoplasms reported include leiomyoma, 6 spiradenoma, 7 eccrine syringofibroadenoma, 8 follicular hybrid cysts, 9 squamous cell carcinoma, 10 sebaceous carcinoma, 11,12 tricholemmal carcinoma, 13 syringocystadenocarcinoma papilliferum, 14 eccrine porocarcinoma, 15 ductal sweat gland carcinoma, 16 and apocrine carcinoma. 10,17,18 We report a case of an adenocarcinoma with subsequent metastasis arising in association with a NS with multiple neoplastic proliferations.…”