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Recurring Hidradenocarcinoma of the Lower Extremity
Journal article   Open access   Peer reviewed

Recurring Hidradenocarcinoma of the Lower Extremity

Harpinder Dhinsa, Amani Bashir, Anand Rajan, Benjamin Miller and Jennifer Gloeckner Powers
Journal of the Dermatology Nurses' Association, Vol.16(3), pp.95-98
05/01/2024
DOI: 10.1097/JDN.0000000000000792
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https://doi.org/10.1097/JDN.0000000000000792View
Published (Version of record) Open Access

Abstract

Hidradenocarcinomas are rare adnexal tumor of the sweat glands. They are typically found on the head and neck with a high rate of recurrence and metastasis. Here, we present a case of a 67-year-old woman who presented with long-standing subcutaneous mass over her right knee. She underwent initial surgical excision with positive margins, and histopathology of the resection specimen was consistent with hidradenocarcinoma. The patient completed 60-Gray adjuvant radiation to the surgical bed postoperatively. Eight months later, the patient returned with a concern for recurrence of the hidradenocarcinoma at the same site. Biopsy confirmed the recurrence, and the malignancy was excised with 2-cm margins along with surgical reconstruction with a local muscle flap. She has not had recurrence at follow-up 1 year after the reconstructive flap. This case highlights the histopathologic nature of hidradenocarcinomas and that, despite local excision and large-dose radiation, malignancy can recur.
Dermatology Life Sciences & Biomedicine Science & Technology

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