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Malignant clear-cell hidradenoma.

L F Lopez-Burbano, G A Cimorra, E Gonzalez-Peirona

    Plastic and Reconstructive Surgery
    |August 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

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    This case report details a rare malignant clear-cell hidradenoma on the hand. Early aggressive surgery is advised due to treatment resistance, with lung and myocardial metastases noted.

    Area of Science:

    • Dermatopathology
    • Surgical Oncology

    Background:

    • Malignant clear-cell hidradenoma is a rare skin neoplasm.
    • Complete reports with follow-up and necropsy are exceptionally scarce in medical literature.

    Observation:

    • A case of malignant clear-cell hidradenoma on the dorsum of the hand is presented.
    • This tumor exhibited significant invasiveness.
    • The case is unique for documenting both lung and myocardial metastases.

    Findings:

    • The patient underwent wide surgical excision and radical node dissection.
    • Recurrence necessitated arm amputation.
    • Radiotherapy and chemotherapy proved ineffective in this case.

    Implications:

    • Early, aggressive surgical intervention, including regional lymph node dissection, is recommended for malignant clear-cell hidradenoma.

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  • Close patient follow-up is crucial post-surgery.
  • This case highlights the aggressive potential and metastatic capabilities of this rare tumor.