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Massive Malignant Transformation in a Patient with Hidradenitis Suppurativa during Anti-Tumor Necrosis Factor
Gabija Rudzikaitė1, Jorinta Jokubaitė, Dominykas Markevičius
1In the Clinic of Infectious Diseases and Dermatovenereology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania, Gabija Rudzikaitė, MD, is Dermatovenereologist; Jorinta Jokubaitė, MD, is Resident Doctor in Dermatovenereology; and Dominykas Markevičius, MD, is Resident Doctor in Plastic and Reconstructive Surgery. Justinas Pamedys, MD, is Surgical Pathologist, National Centre of Pathology Affiliated to Vilnius University Hospital Santaros Klinikos, Vilnius. Tadas Raudonis, MD, is Head, Centre of Dermatovenereology, Clinic of Infectious Diseases and Dermatovenereology, Faculty of Medicine, Vilnius University.
Abstract:
Hidradenitis suppurativa (HS) is a chronic skin condition that can lead to significant morbidity and, in some cases, transformation to squamous cell carcinoma (SCC). This report details the case of a 53-year-old man with a history of HS treatment with adalimumab and systemic antibiotics who developed well-differentiated SCC. For this malignant transformation, the patient required aggressive management, including radiation therapy, wide excision, and reconstructive surgery. Follow-up showed no disease progression. This case highlights the importance of early detection, routine screening, and a multidisciplinary approach in managing the risk of SCC in patients with HS.
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