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Kim JH, Park HJ, Kim JN. Sonographic and Strain Elastographic Findings of a Clear Cell Hidradenoma that Looked Like an Epidermoid Tumor: A Case Report. TAEHAN YONGSANG UIHAKHOE CHI 2022; 83:194-198. [PMID: 36237369 PMCID: PMC9238206 DOI: 10.3348/jksr.2021.0027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2021] [Revised: 03/15/2021] [Accepted: 04/02/2021] [Indexed: 06/16/2023]
Abstract
Clear cell hidradenoma (CCH) is a rare tumor of the sweat glands of eccrine or apocrine differentiation. It can occur anywhere in the body, but common sites of involvement are the head, face, trunk, and extremities. Although several reports have described sonographic findings of CCH, only one study on the axilla mentioned its strain elastographic findings. Here, we present a case of CCH in the right calf with its sonographic and strain elastographic findings in a tumor that looked like an epidermoid tumor.
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Al-Adawi SSH, Al-Qasabi B, Al-Bahri M, Aljarrah A, Al-Aghbari S. Clear Cell Hidradenoma of the Breast Diagnosed on a Core Needle Biopsy: A case report and review of the literature. Sultan Qaboos Univ Med J 2020; 20:e357-e361. [PMID: 33110653 PMCID: PMC7574794 DOI: 10.18295/squmj.2020.20.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 03/30/2020] [Accepted: 04/27/2020] [Indexed: 11/28/2022] Open
Abstract
Clear cell hidradenoma (CCH) is a tumour originating from the eccrine sweat glands. It usually presents in the limbs, axilla or trunk. CCH of the breast is rare and can present as a cystic lesion in the breast that can be easily misdiagnosed as malignancy. We report a 36-year-old female patient who presented at the Sultan Qaboos University Hospital Breast Clinic, Muscat, Oman, in 2018 with a lump in her left breast. Ultrasound examination reported a complex cystic lesion with a solid, vascular component. An ultrasound-guided core needle biopsy was suggestive of clear cell hidradenoma. Surgical excision was performed and histopathology confirmed the diagnosis of CCH of the breast. This is the first ever case of a diagnosis of CCH made using core needle biopsy. CCH can be challenging to diagnose; therefore, awareness of its histopathological and ultrasonographic features are essential to avoid misdiagnosis and over treatment.
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Affiliation(s)
- Sara S H Al-Adawi
- Department of General Surgery, Oman Medical Speciality Board, Muscat, Oman
| | - Badriya Al-Qasabi
- Department of Radiology, Sultan Qaboos University Hospital, Muscat, Oman
| | - Maiya Al-Bahri
- Department of Pathology, Sultan Qaboos University Hospital, Muscat, Oman
| | - Adil Aljarrah
- Department of General Surgery, Sultan Qaboos University Hospital, Muscat, Oman
| | - Suad Al-Aghbari
- Department of General Surgery, Sultan Qaboos University Hospital, Muscat, Oman
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Toro EMD, González YP, Cembranos MM. Snow Falling Sign in a Long-Standing Tumor. ACTAS DERMO-SIFILIOGRAFICAS 2019. [DOI: 10.1016/j.adengl.2019.07.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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An JK, Woo JJ, Hong YO. Malignant sweat gland tumor of breast arising in pre-existing benign tumor: A case report. World J Clin Cases 2019; 7:3033-3038. [PMID: 31624751 PMCID: PMC6795723 DOI: 10.12998/wjcc.v7.i19.3033] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 08/22/2019] [Accepted: 09/09/2019] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Sweat glands belong to skin appendages. Sweat gland tumors are uncommon, especially when they occur as malignant tumors in the breast. We report a case of malignant sweat gland tumor of the breast, including imaging and pathological findings.
CASE SUMMARY A 47-year-old woman visited our hospital with a non-tender palpable lesion in her left breast. The lesion had not shown changes for 10 years. However, it recently increased in size. Sonography showed a well circumscribed cystic lesion with internal debris and fluid-fluid level. Magnetic resonance imaging showed a well circumscribed oval mass with T1 hyper-intensity compared to muscle and T2 high signal intensity. There was a small enhancing mural component in the inner wall of the mass. The tumor was resected. Its pathologic result was a malignant transformation of benign sweat gland tumor such as hidradenoma. The lesion was treated with excision and radiation therapy. At 1-year follow up, there was no local recurrence or metastasis in the patient.
CONCLUSION In the case of a rapid growing cystic mass in the nipple and subareola, it is necessary to distinguish it from a malignant sweat gland tumor.
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Affiliation(s)
- Jin Kyung An
- Department of Radiology, Nowon Eulji Medical Center, Eulji University, Seoul 01830, South Korea
| | - Jeong Joo Woo
- Department of Radiology, Nowon Eulji Medical Center, Eulji University, Seoul 01830, South Korea
| | - Young Ok Hong
- Department of Pathology, Nowon Eulji Medical Center, Eulji University, Seoul 01830, South Korea
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Snow Falling Sign in a Long-Standing Tumor. ACTAS DERMO-SIFILIOGRAFICAS 2019; 110:765-766. [PMID: 31256798 DOI: 10.1016/j.ad.2018.05.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 04/02/2018] [Accepted: 05/30/2018] [Indexed: 01/13/2023] Open
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Lee JY, Kang BS, Shim HS, Song IH, Kim M, Lee SH, Chung HW, Lee MH, Shin MJ. Clear Cell Hidradenoma: Characteristic Imaging Features on Ultrasonography, Computed Tomography, and Magnetic Resonance Imaging. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2018; 37:1993-2001. [PMID: 29388236 DOI: 10.1002/jum.14552] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 11/01/2017] [Accepted: 11/19/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES The purpose of this study was to evaluate the imaging features of clear cell hidradenoma on ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI). METHODS The radiologic and pathologic databases at 2 medical institutions were searched retrospectively from 2004 to 2016 to identify patients with a diagnosis of clear cell hidradenoma. Ultrasonographic, CT, and MRI features were described, and pathologic specimens were reviewed. RESULTS There were 5 female and 4 male patients. The mean patient age was 48.9 years (range, 28-70 years). Five patients underwent only US; 2 patients underwent only CT; 1 patient underwent both US and CT; and 1 patient underwent US and MRI. Most of the tumors were located primarily in the subcutaneous fat layer. The mean tumor size was 18.4 mm. On US, 6 masses had a heterogeneous echo texture, including an anechoic portion with protruding echogenic portions. Two masses had multiple septa in the anechoic portion. On color Doppler US, blood flow was both central and peripheral in 5 patients. All 3 cases seen on CT presented as a low-attenuation mass with an enhanced solid internal nodule. On MRI, the mass showed heterogeneous signal intensity on T2-weighted images and enhancement of the peripheral wall and internal solid component on contrast-enhanced T1-weighted images. CONCLUSIONS Clear cell hidradenoma is usually located in the subcutaneous fat layer, has a well-defined margin, appears as a cystic mass with an internal solid nodule, and occasionally has multiple septa on US, CT, and MRI.
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Affiliation(s)
- Joo Yeon Lee
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
| | - Byeong Seong Kang
- Department of Radiology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Hyun Seok Shim
- Department of Radiology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - In Hye Song
- Department of Pathology , University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
| | - Misung Kim
- Department of Pathology, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea
| | - Sang Hoon Lee
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
| | - Hye Won Chung
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
| | - Min Hee Lee
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
| | - Myung Jin Shin
- Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea
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Vázquez-Osorio I, Gonzalvo-Rodríguez P, Rodríguez-Díaz E. Ultrasound Diagnosis of Nodular Hidradenoma. ACTAS DERMO-SIFILIOGRAFICAS 2018. [DOI: 10.1016/j.adengl.2018.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Wortsman X, Reyes C, Ferreira-Wortsman C, Uribe A, Misad C, Gonzalez S. Sonographic Characteristics of Apocrine Nodular Hidradenoma of the Skin. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2018; 37:793-801. [PMID: 28880402 DOI: 10.1002/jum.14379] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 06/05/2017] [Accepted: 06/06/2017] [Indexed: 06/07/2023]
Abstract
Nodular hidradenomas are benign sweat gland-derived tumors that can produce clinical and dermatoscopic misdiagnoses. Histologically, these tumors can be classified into eccrine and apocrine subtypes. We present the sonographic characteristics of 6 cases of apocrine nodular hidradenomas, which, to our knowledge, is so far the largest series reported. A detailed sonographic analysis included layers, body location, shape, diameters, echostructure patterns, and vascularity. Two sonographic signs not previously reported in these or other common dermatologic lesions were detected: "snow falling" and "fluid-fluid level." The sonographic characteristics of apocrine nodular hidradenomas can support their earlier and more precise diagnosis.
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Affiliation(s)
- Ximena Wortsman
- Department of Imaging, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Clinica Servet, Santiago, Chile
- Departments of Dermatology, Faculty of Medicine Pontifical Catholic University of Chile, Santiago, Chile
- Department of Dermatology, Faculty of Medicine, University Finis Terrae, Santiago, Chile
| | - Carlos Reyes
- Departments of Dermatology, Faculty of Medicine Pontifical Catholic University of Chile, Santiago, Chile
| | | | - Alberto Uribe
- Department of Pathology, Faculty of Medicine, Pontifical Catholic University of Chile, Santiago, Chile
| | - Carlos Misad
- Dermatology Division, Integramedica Health Center, Santiago, Chile
| | - Sergio Gonzalez
- Department of Dermatology, Faculty of Medicine, University of Chile, Santiago, Chile
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Vázquez-Osorio I, Gonzalvo-Rodríguez P, Rodríguez-Díaz E. Ultrasound Diagnosis of Nodular Hidradenoma. ACTAS DERMO-SIFILIOGRAFICAS 2017; 109:453-455. [PMID: 29183622 DOI: 10.1016/j.ad.2017.06.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Revised: 06/05/2017] [Accepted: 06/18/2017] [Indexed: 12/24/2022] Open
Affiliation(s)
- I Vázquez-Osorio
- Servicio de Dermatología, Hospital Universitario de Cabueñes, Gijón, Asturias, España.
| | - P Gonzalvo-Rodríguez
- Servicio de Anatomía Patológica, Hospital Universitario de Cabueñes, Gijón, Asturias, España
| | - E Rodríguez-Díaz
- Servicio de Dermatología, Hospital Universitario de Cabueñes, Gijón, Asturias, España
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Takasaka M, Saeki H, Ito K, Matsuo K, Ishiji T, Nakagawa H. Skin ultrasound examination proves useful in diagnosing two cases of solid cystic hidradenoma. Int J Dermatol 2012; 53:e146-7. [DOI: 10.1111/j.1365-4632.2012.05625.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Cho KE, Son EJ, Kim JA, Youk JH, Kim EK, Kwak JY, Jeong J. Clear cell hidradenoma of the axilla: a case report with literature review. Korean J Radiol 2010; 11:490-2. [PMID: 20592936 PMCID: PMC2893323 DOI: 10.3348/kjr.2010.11.4.490] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2009] [Accepted: 02/04/2010] [Indexed: 12/11/2022] Open
Abstract
Clear cell hidradenoma is an uncommon benign skin appendageal tumor that typically involves the dermal layer of the head, face, and extremities. The breast is a rare site for this lesion, with only two documented cases, which were determined based on mammogram and sonogram findings. We present a case of clear cell hidradenoma of the axillary tail with radiological findings and a literature review.
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Affiliation(s)
- Kyung Eun Cho
- Department of Radiology, Yonsei University College of Medicine, Seoul 135-720, Korea
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Jin W, Kim GY, Lew BL, Yang DM, Kim HC, Ryu JK, Park JS, Ryu KN. Sonographic findings of an eccrine spiradenoma: case report and literature review. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2008; 27:813-818. [PMID: 18424661 DOI: 10.7863/jum.2008.27.5.813] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Affiliation(s)
- Wook Jin
- Department of Radiology, East-West Neo Medical Center, Kangdong-gu, Seoul 134-090, Korea.
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Mullaney PJ, Becker E, Graham B, Ghazarian D, Riddell RH, Salonen DC. Benign hidradenoma: magnetic resonance and ultrasound features of two cases. Skeletal Radiol 2007; 36:1185-90. [PMID: 17624528 DOI: 10.1007/s00256-007-0348-9] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2007] [Revised: 05/23/2007] [Accepted: 06/04/2007] [Indexed: 02/02/2023]
Abstract
Tumors of sweat gland origin are rare in the hand but should be considered in the differential diagnosis when certain imaging features are present. We present a case of nodular hidradenoma of the hand, with previously unreported magnetic resonance imaging features, and a further case in the thigh, both with ultrasound and histopathological correlation. The imaging literature of this tumor is reviewed, and its significance is discussed with respect to the current understanding of its malignant potential.
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Affiliation(s)
- P J Mullaney
- Department of Medical Imaging, Toronto Western Hospital, 399 Bathurst St, Toronto, ON, M5G 2C4, Canada.
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Lee SY, Hwang SS, Kim HJ, Jung JH. Eccrine acrospiroma of inguinal area: Computed tomography findings. J Comput Assist Tomogr 2006; 30:223-5. [PMID: 16628036 DOI: 10.1097/00004728-200603000-00010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Eccrine acrospiroma is a tumor originating from the sweat glands. The computed tomography findings of eccrine acrospiroma in the right inguinal area are presented. In our case, the tumor was seen as a well-defined and ovoid-shaped cystic mass with an internal enhancing solid portion and containing calcifications. Eccrine acrospiroma should be considered in the differential diagnosis of a subcutaneous cystic mass with an internal solid nodule.
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Affiliation(s)
- So Yeon Lee
- Department of Radiology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea
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