대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제36권2호
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  • Pages.41-44
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  • 2020
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
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경부에 재발한 투명세포땀샘종의 치료에 대한 증례 보고

A Treatment of Recurrent Clear Cell Hidradenoma on the Neck: A Case Report

  • 김순제 (충남대학교 의과대학 성형외과학교실) ;
  • 양희상 (충남대학교 의과대학 성형외과학교실) ;
  • 신정민 (충남대학교 의과대학 성형외과학교실) ;
  • 오상하 (충남대학교 의과대학 성형외과학교실)
  • Kim, Sun Je (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Yang, Heesang (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Shin, Chungmin (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Oh, Sang-Ha (Department of Plastic and Reconstructive Surgery, College of Medicine, Chungnam National University)
  • 투고 : 2020.06.24
  • 심사 : 2020.10.17
  • 발행 : 2020.11.30
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초록

Clear cell hidradenoma is a skin adnexal tumor originating from eccrine glands. The risk of local recurrence after surgical resection exceeds 50%, and 6-19% of cases are malignant. The rarity of clear cell hidradenoma and its diverse histological findings make this type of tumor a diagnostic challenge. We present a case of recurrent clear cell hidradenoma of the posterior neck in a 70-year-old woman. The tumor recurred once after complete excision, and did not recur again after 1-cm wide excision and reconstruction with a local bilobed flap. Recurrent clear cell hidradenomas are activated by surgical stimulation, increasing the risk for metastasis. Therefore, we suggest that wide excision with confirmation of a tumor-free margin by frozen-section biopsy should be the first-line treatment for recurrent benign clear cell hidradenoma.

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참고문헌

  1. Lever WF, Castleman B. Clear cell myo-epithelioma of the skin; report of ten cases. Am J Pathol. 1952;28:691-699.
  2. Kersting DW. Clear cell hidradenoma and hidradenocarcinoma. Arch Dermatol. 1963;87:323-333. https://doi.org/10.1001/archderm.1963.01590150039007
  3. Johnson BL Jr, Helwig EB. Eccrine acrospiroma: A clinicopathologic study. Cancer. 1969;23:641-657. https://doi.org/10.1002/1097-0142(196903)23:3<641::AID-CNCR2820230318>3.0.CO;2-B
  4. Winkelmann R. Solid-cystic hidradenoma of the Skin. Clinical and histophthologic study. Arch Dermatol. 1968;97:651-661. https://doi.org/10.1001/archderm.1968.01610120041005
  5. Ashley I, Smith-Reed M, Chernys A. Sweat gland carcinoma: Case report and review of the literature. Dermatol Surg. 1997;23:129-133. https://doi.org/10.1111/j.1524-4725.1997.tb00674.x
  6. El-Domeiri AA, Brasfield, RD, Huvos AG, Strong EW. Sweat gland carcinoma: a clinico-pathologic study of 83 patients. Plast Reconstr Surg. 1971;173:270-274.
  7. Lee JH, Cho SI, Do NY, Dong GW. A Case of Giant Malignant Clear Cell Hidradenoma. Korean J Otorhinolaryngol-Head Neck Surgery. 2005;48:1305-1308.
  8. Weyers W, Euler M, Diaz-Cascajo C. Schill WB, Bonczkowitz M. Classification of cutaneous malignant melanoma: a reassessment of histopathologic criteria for the distinction of different types. Cancer. 1999;86:288-299. https://doi.org/10.1002/(SICI)1097-0142(19990715)86:2<288::AID-CNCR13>3.0.CO;2-S
  9. Mehregan AH, Hashimoto K, Rahbari H. Eccrine adenocarcinoma: A clinicopathologic study of 35 cases. Arch Dermatol. 1983;119:104-114. https://doi.org/10.1001/archderm.1983.01650260012008
  10. Wong TY, Suster S, Nogita T, Duncan L, Dickersin RG, Mihm MC Jr. Clear cell eccrine carcinomas of the skin. A clinicopathologic study of nine patients. Cancer. 1994;73:1631-1643. https://doi.org/10.1002/1097-0142(19940315)73:6<1631::AID-CNCR2820730615>3.0.CO;2-7
  11. Orlandi RR, Sercarz JA, Doberneck SA, Calcaterra TC. Malignant clear cell hidradenoma of the upper lip. Head Neck. 1994;16:443-449. https://doi.org/10.1002/hed.2880160509
  12. Kazakis A, Wood C, Anderson R. Metastatic malignant clear cell hidradenoma associated with bullous pemphigoid. Br J Dermatol. 1988;118:819-826. https://doi.org/10.1111/j.1365-2133.1988.tb02601.x
  13. Lee JY, Kang BS, Shim HS, Song IH, Kim M, Lee SH, Chung HW, Kee MH, Shin MJ. Clear Cell Hidradenoma: Characteristic Imaging Features on Ultrasonography, Computed Tomography, and Magnetic Resonance Imaging. J Ultrasound Med. 2018;37:1993-2001. https://doi.org/10.1002/jum.14552
  14. Headington JT, Niederhuber JE, Beals TF. Malignant clear cell acrospiroma. Cancer. 1978;41:641-647. https://doi.org/10.1002/1097-0142(197802)41:2<641::AID-CNCR2820410230>3.0.CO;2-9
  15. Wong TY, Suster S, Nogita T. Duncan LM, Dickersin RG, Mihm MC Jr. Clear cell eccrine carcinomas of the skin. A clinicopathologic study of nine patients. Cancer. 1994;73:1631-1643. https://doi.org/10.1002/1097-0142(19940315)73:6<1631::AID-CNCR2820730615>3.0.CO;2-7
  16. Will R, Coldiron B. Recurrent clear cell hidradenoma of the foot. Dermatol Surg. 2000;26:685-686. https://doi.org/10.1046/j.1524-4725.2000.99183.x
  17. Liapakis IE, Korkolis DP, Koutsoumbi A, Fida A, Kokkalis G, Vassilopoulos PP. Malignant hidradenoma: a report of two cases and review of the literature. Anticancer Res. 2006;26:2217-2220.
  18. Park SH, Kang SG, Choi HJ. Hidradenoma of the Chin. J Craniofac Surg. 2017;28:e454-455. https://doi.org/10.1097/SCS.0000000000003670