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Abstract ANAL hidradenoma of an apocrine sweat gland is a noninvasive and nonmetastasizing neoplasm. Surgical excision apparently cures. Misdiagnosis of this lesion as an adenocarcinoma may lead to serious consequences and major surgery. Two cases are herein presented to illustrate the benign nature of the growth and the successful removal without recurrence. The microscopic characteristics of this lesion of the apocrine sweat gland are papillary structure, dome-shaped eosinophilic epithelial cells, myoepithelial elements with no mitotic figures, no invasion, papillary projections into the acini of the glands, and a striking eosinophilic border of cytoplasm. The apocrine sweat glands in the anal canal may be a site of infection or neoplasm. So many cases of infection in these glands (hidradenitis) have been reported that this clinical entity has advanced from the field of obscurity and confusion to a disease which is recognized by most surgeons. It is necessary now to stress the importance References 1. Blau, A.: Z Geburtsh Gynack 93:341, 1928. 2. Burg, E.: Zbl Gynack 54:395, 1930. 3. Cooper, W. L., and McDonald, J. R.: Arch Path 38:155 ( (Sept) ) 1944. 4. Eichenberg, H. E.: Z Geburtsh Gynack 109:358, 1934. 5. Hoeck, W.: Zbl Gynack 50:2757, 1926. 6. Montgomery, H.: Radiology 25:81935.Crossref 7. McDonald, J. R.: Amer J Clin Path 11:890, 1941. 8. Pick, L.: Virchow Arch Path Anat 175:312, 1904.Crossref 9. Way, S. C., and Memmesheimer, A.: Arch Derm 38:373, 1938.Crossref 10. Woringer, F.: Bull Soc Franc Dermat Syph , 45:112, 1938.
Archives of Surgery – American Medical Association
Published: May 1, 1965
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