Hidradenocarcinoma is a rare and locally aggressive tumor rendering a poor prognosis. Furthermore, very few cases present with nodal metastasis. Diagnosing such an entity, and then differentiating it from a benign counterpart, poses a great challenge to the clinicians. There are no established treatment guidelines for the management of this disease, particularly in patients with nodal involvement. We present a case of a young male who was diagnosed with hidradenocarcinoma of the scalp, along with a neck swelling. A thorough diagnostic evaluation was done with endoscopy, pathological, and radiological investigations. He was successfully treated with resection of the scalp lesion and right-sided neck dissection followed by adjuvant concurrent chemoradiation. He remains free of any local and distant disease after five years of regular follow-up.
Mansha, M. A.,
Abbasi, A. N.,
Ahmed, S. M.,
Qureshi, B. M.
(2018). Hidradenocarcinoma: Five years of local and systemic control of a rare sweat gland neoplasm with nodal metastasis. Cureus, 10(6), e2884.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_radiat_oncol/64
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