- Dr. Younes Lamaalla1*, Dr. Z. Alami1, Dr. Azzouzi1, Dr. Oudghiri1, Pr. O. Elatiqi1, Pr. Elamrani1, Pr. Y. Benchamkha1
- 1Department of Plastic Surgery and Burns, Mohamed VI University Hospital, Marrakech, Morocco
- ISR Journal of Surgery (ISRJS)
Abstract: Background: Malignant nodular hidradenoma (MNH) is a rare adnexal tumor with aggressive potential, often misdiagnosed due to its benign appearance. Early recognition and multidisciplinary management are critical for optimal outcomes. Case Presentation: An 84-year-old male presented with a 10-month history of an ulcerated facial nodule. Histopathology confirmed MNH, treated with wide excision (1 cm margins) and rotational flap reconstruction. Adjuvant radiotherapy was administered for high-risk features. Conclusion: MNH requires high clinical suspicion, histopathological confirmation, and aggressive therapy. Surgery remains the cornerstone, but adjuvant treatments may reduce recurrence.
