Giant vascular eccrine spiradenoma is a rare benign tumor of the sweat gland, which differs from common eccrine spiradenoma in both its larger size and marked vascularity. It is emphasized that this rare type of spiradenoma is
commonly misdiagnosed as an angiomatous lesion or a malignant tumor due to its hemorrhagic and ulcerative features. We report a rare case of giant vascular ecrine spiradenoma that was mistaken as a malignant tumor due
to hemorrhaging and ulceration.