Case Report of Metastatic Head and Neck Hidradenoma

Hidradenocarcinoma is a rare malignancy of the eccrine sweat glands. Existing case studies on this cancer focus on margin free dissection and, less frequently radiation therapy. We report on a unique case of a 43 year old female who had been previously treated via surgical and radiation therapy for hid adenocarcinoma of the right index finger, referred to our practice from radiation oncology, with complaints of a new left neck mass. Subsequent imaging studies confirmed the presence of a left sided node as well as numerous metastatic nodules present throughout the body. Chemotherapy was the recommended treatment. We review the limited literature regarding surgical versus nonsurgical approaches for early detection and treatment of hid adenocarcinomas. The patient’s refusal of recommended treatment highlights the aggressive nature of this rare cancer.