Skip to main content

Advertisement

SpringerLink
Log in

The Aesthetic and Oncological Challenges in the Management of an Atypical Nodular Hidradenoma of the Pinna

  • Case Report
  • Published:
Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Nodular hidradenomas are benign adenomatous tumours of sweat gland origin, which commonly arise from the skin of the head, neck and extremities. Some of these benign appearing lesions exhibit aggressive clinical behaviour with rapid growth, pigmentation and ulceration. These tumors are designated as “atypical nodular hidradenomas” and are known to histologically possess some focal atypical features i.e. nuclear pleomorphism, focal necrosis or prominent mitotic activity. Nodular hidradenomas involving the pinna are rare and to the best of our knowledge there have been no prior reports in the English language literature. We describe a unique case of a 45-year-old woman with an atypical nodular hidradenoma of the left pinna and discuss the aesthetic and the oncological issues pertaining to the reconstruction of the pinna.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Tony B, Stephen B, Neil C, Christopher G. Rook’s Textbook of Dermatology Wiley-Blackwell. (8th ed) 2010:37.21–37.22.

  2. Volmar KE, Cummings TJ, Wang WH, Creager AJ, Tyler DS, Xie HB (2005) Clear Cell Hidradenoma: a Mimic of Metastatic Clear Cell Tumors. Arch Pathol Lab Med 129:e113–6

    PubMed  Google Scholar 

  3. Nazarian RM, Kapur P, Rakheja D, Piris A, Duncan LM, Mihm MC Jr, Hoang MP (2009) Atypical and Malignant Hidradenomas: a Histological and Immunohistochemical Study. Mod Pathol 22:600–10

    Article  CAS  PubMed  Google Scholar 

  4. Elder D, Elenitsas R, Ragsdale BD. Lever’s Histopathology of the Skin. 8th ed. Philadelphia PA: Lippincott-Raven; 1997. Tumors of the epidermal appendages; pp. 747–804

  5. Ahmed TS, Priore JD, Seykora JT (2009) Tumors of the Epidermal Appendages. In: Elder DE, Elenitsas R, Murphy GF, Johnson BL, Xu X (eds) Lever’s Histopathology of the Skin, 10th edn. Lippincott Williams and Wilkins, Philadelphia, pp 891–2

    Google Scholar 

  6. Nandeesh BN, Rajalakshmi T (2012) A Study of Histopathologic Spectrum of Nodular Hidradenoma. Am J Dermatopathol 34:461–70

    Article  PubMed  Google Scholar 

  7. Benmously-Mlika R, Jones M, Hammami H, Labbene N, Debbiche A, Mokhtar I, Fenniche S (2011) Nodular Hidradenoma in a 19-Year-old Woman. Pathologica 103:311–2

    CAS  PubMed  Google Scholar 

  8. Lane JE, Kent DE. Cutis (2011) Malignant nodular hidradenoma treated with Mohs micrographic surgery; 88:173–4

  9. Armin BB, Ruder RO, Azizadeh B (2011) Partial Auricular Reconstruction. Semin Plast Surg 25:249–56

    Article  PubMed Central  PubMed  Google Scholar 

  10. Reddy LV, Zide MF (2004) Reconstruction of Skin Cancer Defects of the Auricle. J Oral Maxillofac Surg 62:1457–71

    Article  PubMed  Google Scholar 

  11. Stefanato CM, Ferrara G, Chaudhry IH, Guevara Pineda C, Waschkowski G, Rose C, Calonje E (2012) Clear Cell Nodular Hidradenoma Involving the Lymphatic System: a Tumor of Uncertain Malignant Potential or a Novel Example of “Metastasizing” Benign Tumor? Am J Surg Pathol 36:1835–40

    Article  PubMed  Google Scholar 

Download references

Competing Interests

None declared

Funding

None

Ethical Approval

Not required

Author information

Authors and Affiliations

  1. Surgical Oncology, Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600020, India

    Arvind Krishnamurthy

  2. Preventive Oncology, Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600020, India

    Vijayalakshmi Ramshankar

  3. Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600020, India

    Urmila Majhi

Authors
  1. Arvind Krishnamurthy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vijayalakshmi Ramshankar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Urmila Majhi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Arvind Krishnamurthy.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Krishnamurthy, A., Ramshankar, V. & Majhi, U. The Aesthetic and Oncological Challenges in the Management of an Atypical Nodular Hidradenoma of the Pinna. Indian J Surg Oncol 5, 148–151 (2014). https://doi.org/10.1007/s13193-014-0308-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13193-014-0308-5

Keywords

Search

Navigation