Hidradenocarcinoma of Nose: A Rare Case Report

Abstract

This report details the surgical management of a rare case of hidradenocarcinoma in a 70-year-old man presenting as a large multilobulated swelling on the dorsum of the nose. Following histopathological confirmation, the patient underwent wide complete excision of the tumour, coupled with sentinel lymph node dissection. Reconstruction involved the use of a paramedian forehead flap and cheek advancement flap. The successful outcome underscores the importance of early diagnosis and a comprehensive surgical approach for managing hidradenocarcinoma on the nasal dorsum.

Keywords: Cutaneous lesions on nose; Eccrine sweat gland tumour of nose; Hidradenocarcinoma nose; Malignant tumour of nose; Rare tumour of nose.

Fig. 1

A Image depicting a large, multilobulated mass situated on the dorsum of the nose. B Lateral view of face showing the nose mass causing obstruction of the left eye’s vision

Fig. 2

A An image illustrating the sagittal section of the CT scan of the nose, revealing a heterogeneously enhancing mass over the nose. B Axial view CT scan displaying a mass over the nose without any evidence of cartilage or bone erosion

Fig. 3

A An image depicting the measurement of the defect with skin markings for the paramedian forehead flap. B An image illustrating the rotation of the flap to the site of the defect

Fig. 4

The image displays the paramedian forehead flap and cheek advancement flap, both of which were utilized to cover the defect, and subsequently sutured in place

Fig. 5

A The microscopic image of the resected specimen, captured under lower magnification (40×), reveals clusters of squamous and clear cells arranged in a nest-like pattern within a fibro-vascular stroma distributed in the dermis. B The microscopic image of the resected specimen, taken under higher magnification (400×), demonstrates the presence of spindle cells with vesicular cytoplasm, as well as clear cells exhibiting atypical nuclei and hyperchromatism

Fig. 6

The image above displays satisfactory results six months post-operation