Abstract:Hidradenoma papilliferum is a rare tumor that occurs almost exclusively in females on the anogenital area. Rare cases of ectopic (nongenital) hidradenoma papilliferum have been described. The lesions usually present as an asymptomatic slow-growing, red, firm, mobile, well-delimitated nodule that grows for a long time before resection. We describe a case of an 26-year-old man that presented with an enlarging nodule on his right eyelid. The histological findings revealed a hidradenoma papilliferum. So far, among… Show more
“…A further three cases excluded from our review referred to two female patients with nipple lesions, because their tumors may actually have been papillary adenomas of the nipple rather than hidradenoma papilliferum, 2 and one male patient with a neoplasm on the right eyelid, in whom histopathological findings appeared to be more consistent with a diagnosis of syringocystadenoma papilliferum because an epidermal connection was evident 9 …”
Section: Summary Of Cases Of Ectopic Hidradenoma Papilliferum Reportementioning
“…A further three cases excluded from our review referred to two female patients with nipple lesions, because their tumors may actually have been papillary adenomas of the nipple rather than hidradenoma papilliferum, 2 and one male patient with a neoplasm on the right eyelid, in whom histopathological findings appeared to be more consistent with a diagnosis of syringocystadenoma papilliferum because an epidermal connection was evident 9 …”
Section: Summary Of Cases Of Ectopic Hidradenoma Papilliferum Reportementioning
“…1,3,10 The treatment of choice in our study was local excision which conforms to the most literature. 1,4–15 Although a few studies have reported recurrence following incomplete excision of the primary tumour.…”
Hidradenoma papilliferum is a known example of adnexal skin tumours with apocrine differentiation. It is a rare benign tumour which tends to arise from areas with rich concentration of aporine glands such as anogenital region, vulval, perineal, axillae, and periumbilical areas. In this report, the tumour was found in the upper outer quadrant of left breast, being one of the ectopic sites for this tumour. Contrary to most reports where male preponderance was popular for ectopic hidradenoma papilliferum, the patient in this report is a 71-year-old female. Considering the location of this tumour in this report, the likely histopathological differential diagnoses such as tubular apocrine adenoma, clear cell (apocrine) adenoma, lipoma, intraductal papilloma and papillary carcinoma of the breast should be considered for exclusion. This is the first reported case of a giant ectopic hidradenoma papilliferum of the breast in a Niger Delta region of Nigeria which also highlights the role of fine needle aspiration and cytology in the diagnosis of breast lesions.
“…This may explain the more frequent occurrence of ectopic HP in head and neck region. 2 Among the head and neck cases only 3 have been reported in the upper eyelid with the present case being the fourth one and first to occur in the lower eyelid [3][4][5] (Table). The clinical presentation and prognosis of ectopic tumors is similar to anogenital HP.…”
Section: Discussionmentioning
confidence: 67%
“…2,6 In conclusion, ectopic HP is a rare benign adnexal tumor and the present case is the first one to be reported in the lower eyelid. [3][4][5] As it can mimic various cutaneous lesions and their malignant counterparts, histopathological examination is required for correct diagnosis. Previously reported cases of ectopic hidradenoma papilliferum of eyelid …”
Hidradenoma papilliferum is a benign adnexal tumor originating from apocrine glands of skin. It is commonly seen in the anogenital region of middle-aged women and presents as an asymptomatic, slow-growing, solitary nodule. Rarely this tumor occurs at extragenital sites and is called ectopic hidradenoma papilliferum. Although head and neck is a common site for this group, only 3 cases in the upper eyelid have been described. We present the first case of ectopic hidradenoma papilleferum presenting as a cystic swelling in the lower eyelid. A brief review of literature is included.
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