Nodular Hidradenocarcinoma on the Scalp of a Young Woman: Case Report and Review of Literature

Ohta, Masayoshi; Hiramoto, Michiaki; Fujii, Miki; Togo, Takeshi

doi:10.1111/j.1524-4725.2004.30390.x

Cited by 50 publications

(86 citation statements)

References 17 publications

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“…Some reports, including the present case, did not initially evaluate the regional nodes further because no clinical lymphadenopathy was found on exam and the pathologic findings from the initial surgery were low grade [9]. Others advocate elective lymph node dissection or radiation to clinically uninvolved regional nodes due to the high rate of metastasis [10]. An alternative is sentinel lymph node mapping and biopsy which has been shown to detect subclinical metastatic disease.…”

Section: Discussionmentioning

confidence: 98%

Case Report of Metastatic Head and Neck Hidradenoma

Hoffman¹

2014

J Clin Case Rep

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Section: Discussionmentioning

confidence: 98%

Case Report of Metastatic Head and Neck Hidradenoma

Hoffman¹

2014

J Clin Case Rep

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“…The most recent reports support the fact that malignant clear cell hidradenoma should be considered as a distinct entity rather than the result of a malignant transformation of its benign type, underlining the importance of a precise initial diagnosis 18,19 . Rosen et al 20 presented a case of a clear cell hidradenoma of the eyelid complicated by multiple recurrences and invasion of nearby structures.…”

Section: Discussionmentioning

confidence: 98%

Malignant Nodular Hidradenoma: Isolated Case Report and Review of Literature

Khan

Ali

Ferdousi

et al. 2017

J. Bangladesh Coll. Phys.

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Summary:Malignant Nodular Hidradenoma is an infrequent highly malignant, primary skin tumor derived from eccrine sweat glands. It has an aggressive course, with high recurrence, high rate of metastases and has very poor prognosis. It has been described as an "orphan"neoplasm. The tumor is similar to its benign counterpart but had additional features such as surface ulceration, numerous mitotic figures and infiltrative growth pattern. Pre-operative diagnosis is difficult by the fine needle aspiration cytology. Malignant nodular hidradenoma of chest wall in 35 years old women, who presented to us with a recurrent rapidly growing swelling over chest wall that grew rapidly over two months after first excision. Tissue diagnosis of first excised specimen was eccrine poroma that was similar to its benign counterpart. criteria for malignancy include poor circumscription, presence of nuclear atypia, mitotic activity, presence of predominantly solid cell islands, infiltrative growth pattern, necrosis, and angio-lymphatic permeation 3-5 .We report a case of malignant nodular hidradenoma in a middle aged woman who presented with a recuurent swelling in right side of lower chest wall. Case report :A 35 years old female presented to us with swelling over right side of chest wall. The swelling was excised and sent for histopathology. The report was ecccrine proroma. But it recurred after two months. The swelling was rapidly increasing in size over the last one and half months. The mass became significantly prominent over the last 15 days prior to presentation resulting in discomfort.Physical examination revealed a large lobulated mass about 20 cmx15cm in size, without ulceration. It was hard, non-mobile, non-fluctuant and adherent to the old scar. The draining area showed no palpable lymphnode. General examination including lungs and liver were normal. Per-operatively, a hard fibrous tumor was observed to infiltrate the muscle but not to underlying ribs. Wide local excision with 1 cm marginal clearance of healthy surrounding tissue was performed along with primary closure. Biopsy was sent to pathological examination.

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“…3 A case report of hidradenocarcinoma by ohta et al and Park et al, have concluded that early wide local excision of the tumour is the treatment of choice. 7,12 In their case reports, patients were only treated with wide local excision and there was no recurrence observed in 24 months and 16 months of follow up respectively. In a study by Stanislav et al, the authors performed a retrospective review of hidradenocarcinoma patients treated with Mohs micrographic surgery at Mayo clinic from 1993 to 2013 and they found that Mohs micrographic surgery seems to be a useful treatment modality and there was no recurrence, metastasis and disease related mortality in patients treated with Mohs micrographic surgery.…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, there is a delay in diagnosis in most of the cases of hidradenocarcinoma. 7 The factors attributing to the delayed diagnosis could be slow growing asymptomatic nodule and most of these nodules can be mistaken clinically with more common lesions like lipoma, epidermoid cyst and sebaceous cyst. The differential diagnosis include lipoma, metastatic tumors to the skin, nodular basal cell carcinoma, hemangioma, lymphangioma, nodular squamous cell carcinoma and epidermoid cyst.…”

Section: Discussionmentioning

confidence: 99%

Hidradenocarcinoma of scalp: a case report and review of literature

Gandla

Chatterjee

Patil

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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<p>Hidradenocarcinoma of the scalp is a rare skin adnexal tumour accounting for less than 0.001% of all tumors. In this study, we describe a rare presentation of the hidradenocarcinoma of the scalp in a 64 years old man. Patient presented with a right side scalp lesion in the occipital area, for which biopsy was done which showed hidradenocarcinoma. Patient underwent wide local excision of the posterior scalp lesion and posterolateral neck dissection and the patient was advised to receive adjuvant chemotherapy and radiotherapy, but the patient refused to undergo adjuvant therapy. Six months postsurgery patient had local recurrence in the posterior margin resection area and lung metastasis, which could have been prevented by adjuvant therapy. Malignant hidradenocarcinoma is a rare aggressive malignant tumour. Patients with this tumour should undergo surgical excision followed by adjuvant therapy.</p>

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Nodular Hidradenocarcinoma on the Scalp of a Young Woman: Case Report and Review of Literature

Abstract: 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.

Cited by 50 publications

References 17 publications

Case Report of Metastatic Head and Neck Hidradenoma

Case Report of Metastatic Head and Neck Hidradenoma

Malignant Nodular Hidradenoma: Isolated Case Report and Review of Literature

Hidradenocarcinoma of scalp: a case report and review of literature

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