A 53-year-old Cambodian woman presented with nodular masses on the right arm suggestive of a sarcoma-type malignancy. The masses were excised and identified as multiple benign eccrine poromas. The patient re-presented after two years with large relapsed tumours and axillary lymph node involvement. A forequarter amputation was undertaken. Histology confirmed the diagnosis of a porocarcinoma, which was likely to be due to malignant transformation of the original poromas. The size and multiplicity of the tumours represents a highly unusual presentation of these rare eccrine neoplasms.

In the early stages of pseudotumour formation following MoM hip resurfacing, this potentially devastating condition can be managed adequately with revision to a CoC bearing THA with minimal soft tissue excision.

The Joint Committee on Surgical Training (JCST), an advisory body to the four surgical royal colleges of the UK and Ireland for all matters relating to surgical training, has identified eight quality indicators specific to orthopaedics and trauma. 1 The sixth indicator is that a minimum of 40 workplace-based assessments (WBAs) be completed per year of training, with some deaneries advocating up to 80 per year.

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