Apocrine hidradenoma of the scalp: an unusual presentation as a chronic wound

Keywords: apocrine hidradenoma, benign adnexal tumour, hidradenoma in HIV, chronic ulcerative wound, adnexal neoplasms, tumours of sweat glands

Abstract

Hidradenomas are rare, benign adnexal tumours of eccrine, apocrine or mixed origin. This is a case of a young (21-year-old) HIV-infected male presenting with a chronic ulcerative scalp wound. This wound progressively increased in size over 4 years. The chronicity of the wound and failure to show evidence of healing raise suspicion prompting biopsy. Initial biopsy suspected syringocystadenoma. This tumour was excised and a rotation advancement flap was used to close the defect. Histology showed features in keeping with hidradenoma of apocrine origin.

Author Biographies

K A Ramdhani, Stellenbosch University

Department of Plastic and Reconstructive Surgery, Tygerberg Hospital, Stellenbosch University, South Africa

K Ramdhani, Stellenbosch University

Department of Plastic and Reconstructive Surgery, Tygerberg Hospital, Stellenbosch University, South Africa

R R V Patel, Stellenbosch University

Department of Plastic and Reconstructive Surgery, Tygerberg Hospital, Stellenbosch University, South Africa

C Bruce-Brand, Stellenbosch University

Department of Plastic and Reconstructive Surgery, Tygerberg Hospital, Stellenbosch University, South Africa

S Harilal, Stellenbosch University

Department of Plastic and Reconstructive Surgery, Tygerberg Hospital, Stellenbosch University, South Africa

Published
2022-11-09
Section
Case Report