Management of a hidradenoma with Mohs micrographic surgery

UMMS Affiliation

Department of Medicine, Division of Dermatology

Publication Date


Document Type

Case Study


Adenoma, Sweat Gland; Chin; Facial Neoplasms; Female; Humans; Middle Aged; *Mohs Surgery; Skin Neoplasms; Sweat Gland Neoplasms


Dermatology | Neoplasms | Skin and Connective Tissue Diseases | Surgical Procedures, Operative | Tissues


BACKGROUND: Hidradenomas are adnexal tumors that may grow to be very large 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 hidradenomas.

METHODS: The literature was reviewed, including both the clinical course of the tumor and histologic features. The case of our report was interpreted in light of the review.

RESULTS: Three stages of Mohs surgery were required for complete removal of the hidradenoma. The patient remains free of recurrence.

CONCLUSION: This report highlights the difficulties in distinguishing benign from malignant hidradenomas and emphasizes the benefits of Mohs surgery for large or recurrent tumors.

DOI of Published Version



J Dermatol Surg Oncol. 1994 Sep;20(9):619-22. doi:10.1111/j.1524-4725.1994.tb00155.x

Journal/Book/Conference Title

The Journal of dermatologic surgery and oncology


At the time of publication, Mary E. Maloney was not yet affiliated with the University of Massachusetts Medical School.

Related Resources

Link to Article in PubMed

PubMed ID