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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2023; 13(01): 137-140
DOI: 10.1055/s-0042-1746426
Case Report

Nodular Hidradenoma of the Lower Limb in a Young Female Impersonating as Sebaceous Cyst

Archana Shetty 
1   Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
,
Praveen Gnanadev
2   Department of Surgery, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
,
Nidha Gaffoor 
1   Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
,
Nirupama Murali
1   Department of Pathology, Dr. Chandramma Dayananda Sagar Institute of Medical Education and Research, Ramanagara, Karnataka, India
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Abstract

Adnexal tumors possess a remarkable capacity for morphological diversity and often present with nonspecific clinical presentations. Definitive diagnosis is made on histopathology with categorization based on the predominant morphological component. We present a case of a 31-year-old woman, with a swelling in the upper one-third of the right leg suspected clinically to be an infected sebaceous cyst. Histopathological examination clinched the diagnosis of a nodular hidradenoma. We wish to present this case not only for its uncommon clinical presentation but also for the diverse spectrum of histomorphological features that can be exhibited by this tumor. The case also emphasizes to surgeons the importance of complete surgical resection given the chances of recurrence and rare cases of malignant transformation associated with this entity.

Keywords

adnexa - hidradenoma - sebaceous - skin

Details of Earlier Presentation

None.


Statement of Institutional Review Board Approval and/or Statement of Conforming to the Declaration of Helsinki

Not applicable.


Brief Background

This case report has been submitted with an intent of academic interest and intrigue to practicing pathologists. Though the lesions are simple, they highlight the importance of close observation of histopathological features.


We would also want to highlight that use of IHC can be restricted in cases like these where a routine H&E can be diagnostic.




Publication History

Article published online:
22 June 2022

© 2022. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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