AI Article Synopsis

  • A 64-year-old man developed a rapidly growing tumor in his left buttock area affected by hidradenitis suppurativa after two years of treatment with tumor necrosis factor-alpha inhibitors.
  • Initial biopsy revealed a well-differentiated squamous cell carcinoma, while a subsequent excisional biopsy showed a poorly differentiated type with atypical sarcomatoid cells.
  • The case highlights a rare complication of hidradenitis suppurativa, where chronic inflammation may lead to the development of squamous cell carcinoma in affected regions.

Article Abstract

We present a case of a 64-year-old man who presented with a rapidly growing tumor in the left buttock and intergluteal cleft area, which was affected by hidradenitis suppurativa. The patient was on tumor necrosis factor-alpha inhibitors for hidradenitis suppurativa for 2 years prior to the development of the mass. Initial biopsy of the mass showed a well-differentiated squamous cell carcinoma with spindle cells and positive epithelial immunomarkers. Subsequent excisional biopsy of the tumor showed an infiltrating poorly differentiated squamous cell carcinoma composed of islands of atypical sarcomatoid spindle cells. Squamous cell carcinoma arising in hidradenitis suppurativa is a rare complication which may occur secondary to chronic inflammation and epidermal hyperproliferation in hidradenitis suppurativa-affected areas.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537059PMC
http://dx.doi.org/10.1177/2050313X19847359DOI Listing

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