1
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Palit SR, S VS, P N, S KS, M S V. An Unusual Presentation of Nodular Hidradenoma. Cureus 2023; 15:e44897. [PMID: 37814727 PMCID: PMC10560452 DOI: 10.7759/cureus.44897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/04/2023] [Indexed: 10/11/2023] Open
Abstract
Benign adnexal neoplasms are quite a common occurrence in adults, especially in the head and neck region. They raise suspicion for malignancy if there are red flag signs like rapid increase in size, pain, ulceration or recurrence. We hereby report a case of a middle-aged gentleman who consulted our surgical OPD with right-sided neck swelling, which was initially thought to be a dermoid cyst; on further evaluation, found to be a dermal sweat gland tumour with features of nodular hidradenoma. The point that is of interest but coincidence to note is that this swelling was preceded by a minor trauma. Characterising these swellings using simple imaging and pathological investigation modalities is important to study their behavioural pattern and add the same to our existing database. This will also help the treating surgeons to keep in mind the possibility of occurrence of such histologies in soft tissue swellings when they present with uncommon clinical features, instead of brushing them aside as the common epidermal or dermoid cysts. Incidence of malignancy is almost nil in nodular hidradenoma, which when found, is attributed to poor surgical clearance; hence the prudence to operate with adequate clearance is extremely significant in preventing the transformation of a mole into a mountain.
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Affiliation(s)
- Sandhya R Palit
- General and Colorectal Surgery, Employees' State Insurance Corporation Medical College (ESICMC) and Postgraduate Institute of Medical Sciences and Research (PGIMSR), Chennai, IND
| | - Vidhya Sree S
- General Surgery, Employees' State Insurance Corporation Medical College (ESICMC) and Postgraduate Institute of Medical Sciences and Research (PGIMSR), Chennai, IND
| | - Nikhithaa P
- General Surgery, Employees' State Insurance Corporation Medical College (ESICMC) and Postgraduate Institute of Medical Sciences and Research (PGIMSR), Chennai, IND
| | - Krithi Sree S
- General Surgery, Employees' State Insurance Corporation Medical College (ESICMC) and Postgraduate Institute of Medical Sciences and Research (PGIMSR), Chennai, IND
| | - Viswanathan M S
- General and Plastic Surgery, Employees' State Insurance Corporation Medical College (ESICMC) and Postgraduate Institute of Medical Sciences and Research (PGIMSR), Chennai, IND
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2
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Abstract
ABSTRACT Hidradenocarcinoma (HAC) is a rare adnexal tumor associated with the potential for locoregional recurrence and systemic metastasis. The clinical appearance of HAC is nonspecific, frequently presenting as a solitary firm subcutaneous nodule or plaque on the head and neck region or distal extremities. These tumors show histomorphologic heterogeneity, as they can be low and high grade. Distinguishing HAC from hidradenoma, especially the low-grade variant of HAC, can be challenging as both tumors can show histologic overlapping features. In this article, we describe a case of a 33-year-old patient presenting with a low-grade HAC of the plantar foot who was subsequently found to have lymph node metastasis.
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3
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Adnexal and Sebaceous Carcinomas. Dermatol Clin 2022; 41:117-132. [DOI: 10.1016/j.det.2022.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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4
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Rehman R, Squires B, Osto M, Quinn T, Kabolizadeh P. Hidradenocarcinoma of the Abdominal Wall Treated With Wide Surgical Excision and Adjuvant Radiotherapy. Cureus 2021; 13:e14724. [PMID: 34094723 PMCID: PMC8169006 DOI: 10.7759/cureus.14724] [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] [Indexed: 11/05/2022] Open
Abstract
Hidradenocarcinomas are rare malignant sweat gland tumors that typically arise in the head and neck area. To the best of our knowledge, this is the only reported instance of hidradenocarcinoma of the abdominal wall as well as the first case arising from a region of prior trauma. A 72-year-old female presented with a left abdominal wall lesion, which she had first noticed after an injury to the area. Initially, the lesion remained stable in size, after which it became mildly pruritic, progressive in size, and expressive of a clear, non-odorous discharge. Imaging demonstrated a heterogeneous cystic density. Surgical pathology revealed a malignant dermal adnexal neoplasm composed of pleomorphic polygonal cells and focal intracytoplasmic lumina lined by eosinophilic cuticles, as well as areas of ductal differentiation, apocrine differentiation, and mucinous metaplasia. Surgical excision of the mass was performed, followed by adjuvant external beam radiotherapy (EBRT). The patient had no long-term toxicities or clinical evidence of local disease recurrence as of one year post-surgery and six months post-EBRT. Early diagnosis and treatment are essential to improving outcomes in patients with hidradenocarcinomas. Frequent follow-up is equally important, as these tumors have high recurrence rates.
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Affiliation(s)
- Rafey Rehman
- Department of Radiation Oncology, Beaumont Health, Royal Oak, USA
| | - Bryan Squires
- Department of Radiation Oncology, Beaumont Health, Royal Oak, USA
| | - Muhammad Osto
- Department of Dermatology, Wayne State University School of Medicine, Detroit, USA
| | - Thomas Quinn
- Department of Radiation Oncology, Beaumont Health, Royal Oak, USA
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5
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Rafols M, Mejia O, Oh KS, Bendixen B, Jorge I, Narayanan S. An Unusual Case of Lower Extremity Clear Cell Hidradenocarcinoma. Case Rep Surg 2020; 2020:6192109. [PMID: 32328335 PMCID: PMC7171610 DOI: 10.1155/2020/6192109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 03/17/2020] [Indexed: 11/29/2022] Open
Abstract
Hidradenocarcinoma (HC) is a rare malignant sweat gland tumor with metastatic potential primarily located in the head, neck, and trunk. We present an unusual case of a large lower extremity Clear Cell HC managed with surgical resection and adjuvant locoregional radiation after excluding lymph node involvement.
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Affiliation(s)
- Marc Rafols
- Department of General Surgery, Mount Sinai Medical Center, Miami Beach, FL 33140, USA
| | - Odille Mejia
- Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA
| | - Kei Shing Oh
- Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA
| | - Blake Bendixen
- Florida International University Herbert Wertheim College of Medicine, Miami, FL 33199, USA
| | - Irving Jorge
- Department of General Surgery, Mount Sinai Medical Center, Miami Beach, FL 33140, USA
| | - Sumana Narayanan
- Department of Surgical Oncology, Mount Sinai Comprehensive Cancer Center, Miami Beach, FL 33140, USA
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6
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Kane B, Adler E, Bhandari T, Rose M, DiGuglielmo N, Sun X. Malignant Hidradenocarcinoma in the Lower Extremity: A Case Report of a Rare Tumor. J Foot Ankle Surg 2018; 57:618-621. [PMID: 29472169 DOI: 10.1053/j.jfas.2017.10.024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Indexed: 02/03/2023]
Abstract
Malignant hidradenocarcinomas are rare soft tissue tumors of sweat gland origin. We present the case of a soft tissue, fungating tumor of 15 years' duration of the medial ankle in an 85-year-old male that exhibited malignant features clinically and radiographically. Subsequent punch biopsy revealed a diagnosis of malignant hidradenocarcinoma. Given the risk of recurrence and the poor radiation and chemotherapy options, the patient initially decided to leave the lesion untreated. However, he soon developed lower extremity cellulitis from the exposed lesion and decided to have the tumor excised, eliminating the source of the infection. In the present case study, we discuss the etiology, clinical and radiographic characteristics, and treatment options for this rare lesion. At the 18-month follow-up visit, he had had no recurrence of the lesion.
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Affiliation(s)
- Brendan Kane
- Podiatry Resident Postgraduate Year 3, Jersey Shore University Medical Center, Neptune, NJ.
| | - Evan Adler
- Podiatry Attending Physician, Adler Foot and Ankle, Oakhurst, NJ
| | - Tarun Bhandari
- General Surgeon - Oncology, Atlantic Shore Surgical Associates, Brick, NJ
| | - Michael Rose
- Plastic Surgeon, The Plastic Surgery Center, Shrewsbury, NJ
| | | | - Xiu Sun
- Pathologist, Jersey Shore University Medical Center, Neptune, NJ
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7
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Ngo N, Susa M, Nakagawa T, Kawahara Y, Sato C, Horiuchi K, Kumazawa F, Shimazaki H, Anazawa U, Chiba K. Malignant Transformation of Nodular Hidradenoma in the Lower Leg. Case Rep Oncol 2018; 11:298-304. [PMID: 29928207 PMCID: PMC6006610 DOI: 10.1159/000489255] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Accepted: 04/16/2018] [Indexed: 11/19/2022] Open
Abstract
Nodular hidradenoma (NH) is a benign adnexal tumor that arises from either eccrine or apocrine sweat glands. NH can originate from any cutaneous site, but the most common sites are the head and anterior surface of the trunk, with very rare cases in the extremities. Long-standing NH has been reported to undergo malignant transformation to malignant NH (MNH); however, its occurrence in the lower leg is extremely rare with only one other case reported to date. In this report, we present a rare case of MNH occurring in the lower leg which was resected with the intent to make a diagnosis. At the final follow-up after 11 months, no local recurrence or metastasis has been observed.
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Affiliation(s)
- Nhuan Ngo
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Japan.,Department of Orthopaedics and Rehabilitations, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.,Department of Orthopaedic Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan
| | - Michiro Susa
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Japan
| | - Takahiro Nakagawa
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Japan
| | - Yo Kawahara
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Japan
| | - Chiaki Sato
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Japan
| | - Keisuke Horiuchi
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Japan
| | - Fumihisa Kumazawa
- Department of Laboratory Medicine, National Defense Medical College Hospital, Tokorozawa, Japan
| | - Hideyuki Shimazaki
- Department of Laboratory Medicine, National Defense Medical College Hospital, Tokorozawa, Japan
| | - Ukei Anazawa
- Department of Orthopaedic Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan
| | - Kazuhiro Chiba
- Department of Orthopedic Surgery, National Defense Medical College, Tokorozawa, Japan
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8
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Mezzabotta M, Declich P, Cardarelli M, Bellone S, Pacilli P, Riggio E, Pallino A. Clear Cell Hidradenocarcinoma of the Breast: A Very Rare Breast Skin Tumor. TUMORI JOURNAL 2018. [DOI: 10.1177/030089161209800221] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Hidradenocarcinoma is an uncommon malignant intradermal tumor of sweat gland origin with a predilection for the face and extremities. It is encountered equally in males and females, usually in the second half of life. These tumors tend to be locally aggressive. In our case, the tumor was located relatively superficially but without any apparent connection to the overlying skin. The typical disease course includes local and sometimes multiple recurrences, and some patients develop regional lymph node and distant metastases. These type of tumors in the parenchyma of the breast are extremely rare. We report a case of hidradenocarcinoma in a 77-year-old woman who presented with a palpable inflammatory nodule in the right breast.
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Affiliation(s)
- Maurizio Mezzabotta
- Chirurgia Generale V, Ospedale di Rho, Azienda Ospedaliera G Salvini, Garbagnate Milanese, Italy
| | - Paolo Declich
- Unità di Anatomia Patologica, Ospedale di Rho, Azienda Ospedaliera G Salvini, Garbagnate Milanese, Italy
| | - Mery Cardarelli
- Chirurgia Generale V, Ospedale di Rho, Azienda Ospedaliera G Salvini, Garbagnate Milanese, Italy
| | - Stefano Bellone
- Unità di Anatomia Patologica, Ospedale di Rho, Azienda Ospedaliera G Salvini, Garbagnate Milanese, Italy
| | - Paolo Pacilli
- Chirurgia Generale V, Ospedale di Rho, Azienda Ospedaliera G Salvini, Garbagnate Milanese, Italy
| | - Eliana Riggio
- Chirurgia Generale V, Ospedale di Rho, Azienda Ospedaliera G Salvini, Garbagnate Milanese, Italy
| | - Antonio Pallino
- Chirurgia Generale V, Ospedale di Rho, Azienda Ospedaliera G Salvini, Garbagnate Milanese, Italy
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9
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Kuma Y, Yamada Y, Yamamoto H, Kohashi K, Ito T, Furue M, Oda Y. A novel fusion gene CRTC3-MAML2 in hidradenoma: histopathological significance. Hum Pathol 2017; 70:55-61. [DOI: 10.1016/j.humpath.2017.10.004] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 10/04/2017] [Accepted: 10/11/2017] [Indexed: 12/26/2022]
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10
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Danialan R, Mutyambizi K, Aung PP, Prieto VG, Ivan D. Challenges in the diagnosis of cutaneous adnexal tumours. J Clin Pathol 2015; 68:992-1002. [DOI: 10.1136/jclinpath-2015-203228] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The diagnosis of cutaneous adnexal neoplasms, a heterogeneous group of entities, is often perceived by practising pathologists as challenging. A systematic approach to diagnosis is necessary for classification of these lesions, which establishes the tumour differentiation (follicular, sebaceous, sweat gland or apocrine) and evaluates histological features differentiating between benign and malignant entities. Consideration of clinical history is a necessary adjunct in evaluation of the adnexal neoplasm, as characteristic anatomical sites are described for many adnexal lesions. In some instances, immunohistochemical studies may also be employed to aid the diagnosis. The differential diagnosis between primary cutaneous adnexal neoplasms and cutaneous metastases from visceral tumours may also be difficult. Clinical, radiological, histological and immunohistochemical characteristics will be further discussed, considering that the correct diagnosis has a significant impact on the patient's management and prognosis.
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11
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Soni A, Bansal N, Kaushal V, Chauhan AK. Current management approach to hidradenocarcinoma: a comprehensive review of the literature. Ecancermedicalscience 2015; 9:517. [PMID: 25815059 PMCID: PMC4370612 DOI: 10.3332/ecancer.2015.517] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Indexed: 12/03/2022] Open
Abstract
Hidradenocarcinoma is a rare malignant adnexal tumour which arises from the intradermal duct of eccrine sweat glands. The head and neck are the most common sites of hidradenocarcinoma, but rarely it can occur on the extremities. As it is an aggressive tumour, regional lymph nodes and distant viscera are the most common sites of metastasis. Diagnosis is confirmed by histopathology and immunohistochemistry. Hidradenocarcinoma should be differentiated from benign and malignant adnexal tumours. Being an aggressive and rare tumour, no uniform treatment guidelines have been documented so far for metastatic hidradenocarcinoma. Wide local excision is the mainstay of the treatment, but because of high local recurrence, radiotherapy in a dose of 50Gy–70Gy and/or 5-fluorouracil and capecitabine-based combination chemotherapy may be given to further improve local control. Other treatment strategies are targeted therapies like trastuzumab, EGFR inhibitors, PI3K/Akt/mTOR pathway inhibitors, hormonal agents like antiandrogens, electrochemotherapy, or clinical trials.
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Affiliation(s)
- Abhishek Soni
- Department of Radiotherapy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Nupur Bansal
- Department of Radiotherapy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Vivek Kaushal
- Department of Radiotherapy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
| | - Ashok Kr Chauhan
- Department of Radiotherapy, Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
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12
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Gupta E, Guthrie KJ, Krishna M, Asmann Y, Parker AS, Joseph RW. Whole exome sequencing of a patient with metastatic hidradenocarcinoma and review of the literature. Rare Tumors 2015; 7:5719. [PMID: 25918615 PMCID: PMC4387361 DOI: 10.4081/rt.2015.5719] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2014] [Revised: 11/17/2014] [Accepted: 11/18/2014] [Indexed: 12/16/2022] Open
Abstract
Hidradenocarcinoma is a rare malignancy of the sweat glands with only a few cases reported in literature. The management of these tumors is based on the extent of disease with local disease managed with surgical resection. These can tumors carry a high potential of lymphatic and vascular spread and local and distant metastases are not uncommon. Given the rarity of the tumor and lack of genetic and clinical data about these tumors, there is no consensus on the proper management of metastatic disease. Here in we report the first case of metastatic hidradenocarcinoma with detailed molecular profiling including whole exome sequencing. We identified mutations in multiple genes including two that are potentially targetable: PTCH1 and TCF7L1. Further work is necessary to not only confirm the presence of these mutations but also to confirm the clinical significance.
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Affiliation(s)
- Eva Gupta
- Division of Hematology and Oncology, Mayo Clinic , Jacksonville, FL, USA
| | | | - Murli Krishna
- Department of Pathology/Lab Medicine, Mayo Clinic , Jacksonville, FL, USA
| | - Yan Asmann
- Division of Cancer Biology, Mayo Clinic , Jacksonville, FL, USA
| | - Alexander S Parker
- Departments of Health Sciences Research and Medicine, Mayo Clinic , Jacksonville, FL, USA
| | - Richard W Joseph
- Division of Hematology and Oncology, Mayo Clinic , Jacksonville, FL, USA
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13
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Clear cell hidradenocarcinoma of the ear helix: report of primary ear helix adnexal carcinoma with regional lymph node metastasis. J Craniofac Surg 2014; 25:e316-7. [PMID: 25006935 DOI: 10.1097/scs.0000000000000581] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Clear cell hidradenocarcinoma is a rare tumor of eccrine sweat gland origin that has a predilection for the head and neck. It has an indolent growth pattern and a higher incidence of regional and distant metastases. Metastasizing adnexal carcinomas are rare; thus, currently there is no uniform treatment guideline. We report a case of an 89-year-old female patient with clear cell hidradenocarcinoma manifesting in the right ear helix that metastasized to the right parotid gland who was treated by wide local excision and radiation therapy.
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14
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Alhashim M, Lee A, Chuang GS. Rapidly proliferating apocrine hidradenoma treated using Mohs micrographic surgery. Dermatol Surg 2013; 39:1535-6. [PMID: 23895228 DOI: 10.1111/dsu.12278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Minhal Alhashim
- Department of Dermatology, Tufts Medical Center, Boston, Massachusetts
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15
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Shu K, Xiao Q, Büchele F, Zhang S, Jiang W, Lei T. Diagnosis and treatment of clear cell hidradenocarcinoma of the scalp. ACTA ACUST UNITED AC 2012; 32:931-936. [PMID: 23271300 DOI: 10.1007/s11596-012-1061-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2011] [Indexed: 11/30/2022]
Abstract
Clear cell hidradenocarcinoma (CCH) is an exceedingly rare and highly malignant tumor of the eccrine sweat glands. Its treatment is extremely difficult due to the characteristically aggressive clinical course including repeated local recurrence and uncontrollable distal metastasis coming along with a very poor prognosis. Most published case studies recommend a wide surgical excision followed by adjuvant conservative therapy, which is generally considered to be the standard treatment. Two cases of nodular CCH of the scalp either presenting as a singular primary lesion or at an already metastatic stage were analyzed retrospectively. Wide local excision of the tumor couldn't prevent the primary carcinoma from recurring and metastasizing. Both cases received various therapies but the results were unsatisfactory. Although most authors have recommended that early wide surgical excision of the tumor is a feasible therapeutic measurement, our results raise doubts on the efficacy of this treatment strategy. As alternative approaches (i.e. chemotherapy, radiotherapy) are similarly controversial, further studies and a wide exchange of clinical experiences are crucial.
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Affiliation(s)
- Kai Shu
- Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Qungen Xiao
- Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Fabian Büchele
- Lab of Molecular Neurosurgery, Stereotactic and Functional Neurosurgery of Albert-Ludwigs University, Freiburg, 79106, Germany
| | - Suojun Zhang
- Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
| | - Wei Jiang
- Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
| | - Ting Lei
- Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China
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16
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Farooq U, Choudhary S, Russo J, Vincek V, Elgart G. Clear cell hidradenocarcinoma with helpful immunohistochemistry: a case report. Int J Dermatol 2012; 52:1380-2. [PMID: 22998159 DOI: 10.1111/j.1365-4632.2011.05433.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Uzma Farooq
- Kendall Medical Laboratory, Coral Gables, FLDepartment of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, Miami, FLDepartment of Pathology and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, FLDepartment of Dermatology, and Cutaneous Surgery, Miller School of Medicine, University of Miami, FL, USA
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17
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Abstract
A very rare case of nodular hidradenoma with an atypical clinical presentation of the face of a 70-year-old woman is presented. Although this rare benign tumor has the potential of local recurrence and malignant transformation, it is commonly reported in the dermatology, pathology, and oncology literature, with limited clinical information. The purpose of this report was to emphasize the clinical features of this lesion for plastic surgeons.
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18
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Yu G, Goodloe S, D'Angelis CA, McGrath BE, Chen F. Giant clear cell hidradenoma of the knee. J Cutan Pathol 2009; 37:e37-41. [PMID: 19615032 DOI: 10.1111/j.1600-0560.2009.01354.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Hidradenomas, also referred to as nodular hidradenomas or clear cell hidradenomas (CCH), are benign cutaneous eccrine tumors usually 2-3 cm in dimension. Hidradenomas are relatively common; however, giant forms are rare. We report a case of an 8.0 x 6.0 x 3.0 cm clear cell hidradenoma of the left knee in a 43-year-old man. The tumor was mobile, located above the patellar tendon and was without bony involvement on imaging studies. Grossly, the resected tumor was unencapsulated and tan, with a solid and cystic cut surface showing papillary excrescences on the cyst wall. Microscopically, the tumor cells showed an infiltrative growth pattern at the periphery, however, the tumor cytology was bland and no necrosis or mitoses were identified. The overlying dermis contained hemosiderin pigment deposition and infiltration with eosinophils. Immunohistochemically, tumor cells were positive for cytokeratin, CAM5.2, p53, carcino-embryonic antigen (CEA) and epithelial membrane antigen (EMA), and negative for CD10 and Ki-67. The cytological features of hidradenomas can present diagnostic challenges, as other 'clear cell' tumors such as metastatic renal cell carcinoma should be considered. Immunohistochemical studies and differential diagnoses are discussed.
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Affiliation(s)
- Gengsheng Yu
- Department of Pathology, Buffalo General Hospital/University at Buffalo, Buffalo, NY 14203, USA
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19
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Yavel R, Hinshaw M, Rao V, Hartig GK, Harari PM, Stewart D, Snow SN. Hidradenomas and a hidradenocarcinoma of the scalp managed using Mohs micrographic surgery and a multidisciplinary approach: case reports and review of the literature. Dermatol Surg 2009; 35:273-81. [PMID: 19215270 DOI: 10.1111/j.1524-4725.2008.34424.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Regina Yavel
- Department of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53711, USA.
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21
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Martinelli PT, Cohen PR, Schulze KE, Tschen JA, Nelson BR. Mohs micrographic surgery for tubular apocrine adenoma. Int J Dermatol 2006; 45:1377-8. [PMID: 17076735 DOI: 10.1111/j.1365-4632.2006.02842.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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22
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Mohs Micrographic Surgery, Sentinel Lymph Node Mapping, and Estrogen Receptor Analysis for the Treatment of Malignant Nodular Hidradenoma. Dermatol Surg 2006. [DOI: 10.1097/00042728-200610000-00015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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23
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Tolland JP, Brenn T, Guldbakke KK, Schanbacher CF. Mohs Micrographic Surgery, Sentinel Lymph Node Mapping, and Estrogen Receptor Analysis for the Treatment of Malignant Nodular Hidradenoma. Dermatol Surg 2006; 32:1294-301. [PMID: 17034384 DOI: 10.1111/j.1524-4725.2006.32295.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Julia P Tolland
- Department of Dermatology, Royal Hospital's Trust, Grosvenor Road, Belfast, Northern Ireland
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24
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Abstract
We treated a 5-year-old boy with clear-cell hidradenoma of the forearm. Our literature search found only one previous report of this disease occurring during the first decade of life, and the present patient is the first with involvement of the limbs. This presentation demonstrates that clear-cell hidradenoma needs to be considered in the differential diagnosis of cutaneous tumors even in young children, which is of interest because malignant transformation can occur.
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Affiliation(s)
- Toshiyuki Ozawa
- Department of Plastic and Reconstructive Surgery, Tenri Hospital, Japan.
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Ohta M, Hiramoto M, Fujii M, Togo T. Nodular Hidradenocarcinoma on the Scalp of a Young Woman: Case Report and Review of Literature. Dermatol Surg 2004; 30:1265-8. [PMID: 15355375 DOI: 10.1111/j.1524-4725.2004.30390.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
BACKGROUND Nodular hidradenocarcinoma was first reported as clear-cell eccrine carcinoma by Keasby and Hadley in 1954 (Cancer 1954;7:934-52) and rare malignant tumor. Several synonyms and related terms for nodular hidradenocarcinoma have appeared in the literature. OBJECTIVE They have potential for uncontrollable local recurrence, tend to metastasize, and often cause death. Most cases have been reported in the pathology literature with limited clinical information. METHODS We report a 27-year-old woman with nodular hidradenocarcinoma on the scalp. RESULT The management of rare cases is not well defined. In our case, she was only treated with a wide local excision, and no recurrence was observed 2 years after excision. CONCLUSION Most authors have concluded that early wide surgical excision of the tumor is the treatment of choice. The efficiency of adjuvant therapy generally has not established.
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Affiliation(s)
- Masayoshi Ohta
- Department of Plastic and Reconstructive Surgery, Kyoto University Hospital, Kyoto, Japan.
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