MANAGEMENT OF A HIDRADENOMA WITH MOHS MICROGRAPHIC SURGERY

BACKGROUND. Hidradenomas are adnexal tumors that may grow to be very l arge and frequently recur after excision. Malignant transformation and metastatic spread can occur and histologic distinction of benign from malignant hidradenomas can be very difficult. Some tumors with bland histology have demonstrated aggressive behavior. OBJECTIVE. To decide the benefits of management with Mohs micrographic surgery of large hid radenomas. METHODS. The literature was reviewed, including both the cl inical course of the tumor and histologic features. The case of our re port was interpreted in light of the review. RESULTS. Three stages of Mohs surgery were required for complete removal of the hidradenoma. Th e patient remains free of recurrence. CONCLUSION. This report highligh ts the difficulties in distinguishing benign from malignant hidradenom as and emphasizes the benefits of Mohs surgery for large or recurrent tumors.