| CASE REPORT |
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| Year : 2011 | Volume
: 3
| Issue : 1 | Page : 43-45 |
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Radiotherapy on hidradenocarcinoma
Issam Lalya1, Khalid Hadadi2, El Mehdi Tazi3, Ilham Lalya4, Amine Bazine2, Khalid Andaloussy2, Mohamed Elmarjany2, Hassan Sifat2, Khalid Hassouni3, Tayeb Kebdani3, Hamid Mansouri2, Noureddine Benjaafar3, Brahim Khalil Elgueddari3
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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