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Clear Cell Hidradenocarcinoma Developing in Pacemaker Pocket
Author(s) -
REYES CESAR V.
Publication year - 2008
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2008.01217.x
Subject(s) - medicine , malignancy , axillary lymph node dissection , lesion , lymph , neoplasm , axilla , surgery , radiology , breast cancer , pathology , cancer , sentinel lymph node
An octagenerian woman developed clear cell hidradenocarcinoma, a rare neoplasm of eccrine sweat gland origin, 4 years following pacemaker implantation in her right lateral chest. The tumor immunohistochemically mimicked a metastatic lobular breast carcinoma, for example, strongly positive estrogen, weakly positive progesterone, and weakly reactive mammoglobin. A complete surgical excision of the tumor was complemented with ipsilateral dissection of involved adjacent axillary lymph nodes. Recommended irradiation was refused by the patient. Retrospective 3‐year mammogram review, 2‐year postsurgery follow‐up, and complete postmortem evaluation failed to prove a primary breast malignancy or other metastatic lesion elsewhere.