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We present an interesting case of clear cell hidradenoma of the foot masquerading as foreign body granuloma for 2 years in a patient presenting with a slow growing soft tissue lump near the right heel. Biopsy revealed the diagnosis and the patient was successfully managed surgically with no recurrence six months later. This is one of the first acknowledged cases of benign, clear cell hidradenoma of the foot. We have elaborated the imaging features correlating with morphological, histological findings and close differentials to be considered by physicians, in this case report to guide the management of patients with a complex superficial subcutaneous mass. It is important to consider hidradenoma as a differential diagnosis in case of a slow growing complex superficial mass in any location and manage such cases with wide surgical excision to prevent recurrence.

Clear cell hidradenoma of the foot: a case report with literature review