Ciesielski Przemysław, Górnicka Barbara, Górnicki Krzysztof, Kołodziejczak Małgorzata, Siekierski Paweł
Department of General Surgery, County Hospital in Wołomin, Warsaw, Poland.
Contemp Oncol (Pozn). 2013;17(1):100-2. doi: 10.5114/wo.2013.33784. Epub 2013 Mar 15.
This paper reports a case of an 87-year-old female patient who was admitted for an emergency operation due to massive hemorrhage of an ulceration localized on a huge neck tumor. Post-interventional diagnosis indicated hidradenocarcinoma. Hidradenocarcinoma is a rare skin neoplasm. It can coincide with adenoma, may develop through its malignant transformation or develop as a malignant tumor from the beginning. It may be found in all dermal localizations. It may develop metastases or appear in the diffuse form.
Surgical excision of the tumor was performed obtaining a surgical margin, completed with excision of local lymph nodes and multiple layer suturing. Due to lack of the patient's consent, she has not been qualified for adjuvant therapy.
Control examination 6 and 12 months later showed no signs of local recurrence or lymph node metastasis.
Surgical excision of apocrine hidradenocarcinoma with a surgical margin could present a good therapeutic effect in spite of lack of adjuvant therapy.
本文报道了一例87岁女性患者，因巨大颈部肿瘤上的溃疡大出血而入院接受急诊手术。介入诊断后显示为汗腺癌。汗腺癌是一种罕见的皮肤肿瘤。它可与腺瘤同时存在，可能通过恶变发展而来，也可能一开始就以恶性肿瘤的形式出现。它可出现在所有皮肤部位。它可能发生转移或以弥漫形式出现。
对肿瘤进行手术切除，获得手术切缘，并完成局部淋巴结切除和多层缝合。由于患者不同意，她未接受辅助治疗。
6个月和12个月后的对照检查显示无局部复发或淋巴结转移迹象。
尽管缺乏辅助治疗，但切除大汗腺汗腺癌并获得手术切缘可产生良好的治疗效果。
