REPORT OF A CASE
A 64-year-old black woman complained of a draining cyst on her right shoulder. Eighteen months previously, she had noted a tender, nondraining nodule on the shoulder. She subsequently underwent partial excision of the nodule. The wound never healed after surgery and continued to leak clear fluid. For the past 2 months, she noted a red nodule growing from the previous excision site that prompted her medical visit.
Findings from her physical examination revealed a 1 x 1-cm, soft, irregular nodule on her right shoulder with a 4 x4-mm protuberant, erythematous, moist papule on one edge (Fig 1). A small amount of clear fluid could be expressed from the lesion.
An excisional biopsy was performed (Figs 2 through 4).
What is your diagnosis?
DIAGNOSIS:
Clear cell hidradenoma (CCH) (nodular hidradenoma).
HISTOPATHOLOGIC FINDINGS
Within the reticular dermis was a poorly circumscribed, nodular and cystic tumor, surrounded by a dense fibrocellular stroma. The solid portions of the tumor
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