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http://dx.doi.org/10.21593/kjhno/2020.36.2.41

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

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)
Publication Information
Korean Journal of Head & Neck Oncology / v.36, no.2, 2020 , pp. 41-44 More about this Journal
Abstract
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.
Keywords
Clear cell hidradenoma; Margins of excision; Sweat gland neoplasm; Wide excision;
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