Eccrine porcarcinoma is an extremely rare malignancy of the skin with few well documented cases reported in literature. It is a malignant cutaneous adnexal neoplasm originating from the intraepidermal ductal portion of eccrine sweat glands. This tumor predominantly affects elderly patients, with a high potential for locoregional metastasis, significant morbidity, and mortality. We present a rare case of porocarcinoma affecting a 22-year-old patient on the lower limb, without extension. The initial tumor was biopsied, excised and diagnosed as an eccrine porocarcinoma. Reconstruction of the heel was achieved with a medial plantar flap.