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CASE REPORT
Year : 2011  |  Volume : 3  |  Issue : 1  |  Page : 43-45

Radiotherapy on hidradenocarcinoma


1 Department of Radiotherapy, Military Hospital Mohamed V; Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
2 Department of Radiotherapy, Military Hospital Mohamed V, Rabat, Morocco
3 Department of Radiotherapy, National Institute of Oncology, Rabat, Morocco
4 Department of Head and Neck Surgery, Casablanca, Morocco

Correspondence Address:
Issam Lalya
National Institute of Oncology, Mohamed V University, Rabat
Morocco
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Source of Support: None, Conflict of Interest: None


DOI: 10.4297/najms.2011.343

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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.


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