%0 Journal Article
%T Radiotherapy on hidradenocarcinoma
%A Issam Lalya
%J North American Journal of Medical Sciences
%D 2011
%I North American Journal of Medical Sciences
%X Context: Clear cell Hidradenocarcinoma is a rare carcinoma arising from sweat glands. It is an aggressive tumor that most metastasizes to regional lymph nodes and distant viscera; surgery with safe margins is the mainstay of treatment. Case Report: We report a case of 68-year-old woman who presented with an invasive clear cell hidradenocarcinoma situated in the left parotid area which recurred 5 months after surgery, this recurrence was managed successfully by high-dose irradiation of the tumor bed (66 Gy) and regional lymphatic chains (50 Gy), after a follow-up of more than 15 months, the patient is in good local control without significant toxicity. Conclusion: Post operative radiotherapy allows better local control and should be mandatory when histological features predictive of recurrence are present: positive margins, histology poorly differentiated, perineural invasion, vascular and lymphatic invasion, lymph node involvement, and extracapsular spread.
%K Hidradenocarcinoma
%K sweat-gland
%K rare
%K surgery
%K recurrence
%K megavoltage external beam radiotherapy.
%U http://najms.org/resources/PDF+43-45+Radiotherapy+on+Hidradenocarcinoma.pdf