ABSTRACT
ABSTRACT Hidradenoma papilliferum is a benign cystic tumor originated in apocrine sweat glands of the anogenital region. It is common in vulvar topography and rare in the perianal region. A well-documented case of a patient with slow-growing perianal nodulation without pain or other symptoms is reported. The histological study shows a hidradenoma papilliferum. The article reviews the topic and discusses the importance of the differential diagnosis of proctological conditions. A biopsy is mandatory in anal lesions of unusual presentation.
RESUMO O hidradenoma papilífero é um tumor cístico benigno originado nas glândulas sudoríparas apócrinas da região anogenital, sendo comum em topografia vulvar e raro na região perianal. Relata-se um caso bem documentado de paciente com nodulação perianal de crescimento lento, sem dor ou outros sintomas, cujo estudo histológico revelou se tratar de hidradenoma papilífero. O artigo revisa o tema e discute a importância do diagnóstico diferencial das afecções proctológicas, sendo a biópsia obrigatória em lesões anais de apresentação não-usual.
Subject(s)
Humans , Female , Middle Aged , Acrospiroma/diagnosis , Anal Canal/pathology , BiopsyABSTRACT
El hidradenoma papilífero es una tumoración benigna, rara, generalmente localizada en la región vulvar o perineal siendo la región perianal una localización poco frecuente. Su asociación con enfermedades de transmisión sexual y el carcinoma ductal es controvertida; es importante realizar el estudio histopatológico de cualquier tumoración en esta zona. Se reporta el caso de una paciente de 49 años de edad, con un nódulo en la región perianal de 2 años de evolución; el estudio histopatológico confirmó el diagnóstico de hidradenoma papilífero. (AU)
The papilliferous hidradenoma is a benign, rare tumor, usually located in the vulvar or perineal region and the perianal region is a rare site. Its association with sexually transmitted diseases and ductal carcinoma is controversial. It is important to perform the histopathological study of any tumor in this area. The case of a 49-year-old patient with a nodule in the perianal region of 2 years of evolution is reported. The histopathological study confirmed the diagnosis of papilliferous hidradenoma.
Subject(s)
Humans , Female , Adult , Middle Aged , Aged , Tubular Sweat Gland Adenomas , Anal Gland Neoplasms , Neoplasms , Acrospiroma , Neoplasms, Glandular and Epithelial , Environmental ChemistryABSTRACT
El hidradenoma papilífero es un tumor infrecuente que ocurre casi de manera exclusiva en la región anogenital de las mujeres, sin embargo se han descrito casos de hidradenomas papilíferos ectópicos. Las lesiones generalmente son asintomóticas de crecimiento lento, eritematosas, firmes, y se presentan como un nódulo bien delimitado. Reportamos tres casos de hidradedoma papilífero en región vulvar, diagnosticados entre 2009 y 2010 en el Hospital Universitario de Caracas. En los tres casos se presente una lesión única, nodular, en labio mayor, con diámetro < 10 mm, renitente, nacarada, no pruriginosa. Hasta la actualidad se ha reportado solo un caso en laliteratura venezolana
Hidradenoma papilliferum is a rare tumor that occurs almost exclusively in the anogenital region of women, however has been reports ectopic hidradenoma papilliferum. The lesions are usually asymptomatic, slow-growing, erythematous, firm, and are presented as awell-defined nodule. We report three cases of vulvar hidradenoma papillifirum, diagnosed between 2009 and 2010 at the Hospital Universitario de Caracas. In all three cases was presented as a single, nodular lesion in labia major with a diameter < 10mm, firm, pearly, not itchy. Until now it has been reported only one case in Venezuelan literature