Hidradenoma

Hidradenoma refers to a benign adnexal tumor of the apical sweat gland.[1][2] These are 1–3 cm translucent blue cystic nodules. It usually presents as a single, small skin-colored lesion, and is considered distinct from the closely related poroma. Hidradenomas are often sub-classified based on subtle histologic differences, for example:

  • clear-cell hidradenoma or acrospiroma
  • nodular hidradenoma or acrospiroma
  • solid-cystic hidradenoma
Hidradenoma
Other namesAcrospiroma, cystadenoma, hydrocystadenomas
Micrograph showing an acrospiroma. H&E stain.
SpecialtyDermatology

Discussion of sweat gland tumors can be difficult and confusing due to the complex classification and redundant terminology used to describe the same tumors. For example, acrospiroma and hidradenoma are synonymous, and sometimes the term acrospiroma is used to generally describe benign sweat gland tumors. In addition, a single lesion may contain a mixture of cell-types.[2] There has also been a change in understanding about how tumors that were previously believed to strictly derive from specific sweat gland types may, in fact, derive from both eccrine or apocrine glands.[3][4]

Hidradenomas are by definition benign, with malignant transformation very rare. When tumors show malignant characteristics, they are known as hidradenocarcinoma.[5] Surgical excision is usually curative and local recurrences are rare, although malignant tumors may metastasize.[3]

  • Gross pathology of a cystic nodular hidradenoma
  • Dermal duct tumor
  • Acrospiroma, solid type
  • Acrospiroma, clear cell type

See also

References
  1. Laws RA, English JC, Elston DM (November 1996). "Acrospiroma: a case report and review". Cutis. 58 (5): 349–51. PMID 8934076.
  2. Obaidat NA, Alsaad KO, Ghazarian D (February 2007). "Skin adnexal neoplasms--part 2: an approach to tumours of cutaneous sweat glands". Journal of Clinical Pathology. 60 (2): 145–59. doi:10.1136/jcp.2006.041608. PMC 1860616. PMID 16882695.
  3. Griffiths C, Cox N, Breathnach S, et al., eds. (2010). "53. Tumours of the Skin Appendages: Eccrine or aprocrine/follicular tumours". Rook's Textbook of Dermatology (8th ed.). Chichester, West Sussex: John Wiley & Sons Ltd. ISBN 978-1-4051-6169-5.
  4. Griffiths C, Cox N, Breathnach S, et al., eds. (2010). "53. Tumours of the Skin Appendages: Eccrine gland tumours". Rook's Textbook of Dermatology (8th ed.). Chichester, West Sussex: John Wiley & Sons Ltd. ISBN 978-1-4051-6169-5.
  5. Hernández-Pérez E, Cestoni-Parducci R (1985). "Nodular hidradenoma and hidradenocarcinoma. A 10-year review". Journal of the American Academy of Dermatology. 12 (1 Pt 1): 15–20. doi:10.1016/s0190-9622(85)70002-3. PMID 2984259.
Classification
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