ABSTRACT
El primer caso de adenocarcinoma mucosecretante asociado a una hidradenitis supurativa crónica, es presentado. La paciente posee una historia de 10 años de su hidradenitis; cuando esta se localiza en el área perineo-genital puede surgir un cáncer subyacente, siendo el carcinoma espinocelular el más frecuente. La enferma se sometió a una resección local amplia pero con un criterio paliativo. Se discute el tratamiento de la neoplasia, al igual que la incidencia de la misma bajo el tratamiento biológico, con adalimumab.
This is the first case in Argentina of Hidradenitis Suppurativa associated with a perianal mucinous carcinoma. Hidradenitis suppurativa is a common disorder, probably autoinflammatory in apocrine bearing skin. When the lesions are located in genital and perineal areas they may be associated with cancer, usually squamous cell carcinoma. We describe a case of a 46-year-woman who has a history of 10 years of hidradenitis suppurativa and developed a big mucinous adenocarcinoma. Treatment is discussed tough the gold standard is the resection abdominoperineal. Our case was treated with a palliative criterion with a wide local surgery. Adalimumab is an accepted treatment for the chronic inflammation in the hidradenitis suppurativa; we do not believe this drug cause or worse the outcome of the malignant neoplasia.