Clinicopathological study of 13 cases of squamous cell carcinoma complicating hidradenitis suppurativa.

Fiche publication


Date publication

janvier 2010

Auteurs

Membres identifiés du Cancéropôle Est :
Pr AUBIN François


Tous les auteurs :
Lavogiez C, Delaporte E, Darras-Vercambre S, Martin De Lassalle E, Castillo C, Mirabel X, Laurent F, Patenotre P, Gheit T, Talmant JC, Beylot-Barry M, Martinot V, Piette F, Aubin F, Mortier L

Résumé

BACKGROUND: To the best of our knowledge, only 52 cases of squamous cell carcinoma (SCC) complicating hidradenitis suppurativa (HS) have been reported since 1958. We describe 13 new cases. METHODS: We propose a clinical and histological analysis of our cases. We include these results in a review of previously reported cases to analyze a total of 65 patients. In our series of 13 cases, we also investigate the presence of human papillomavirus (HPV) in tumor samples, by polymerase chain reaction (PCR) on paraffin-embedded material. RESULTS: Malignant transformation affects mainly men with a long-term history of genitoanal HS. Although our cases were 7 well-differentiated carcinomas and 6 verrucous carcinomas, lymphatic and visceral metastasis occurred in 2 and 3 cases, respectively. With PCR, we demonstrated presence of HPV in genitoanal tumoral lesions, principally HPV-16. CONCLUSION: SCC complicating HS evolves poorly, despite a good histological prognosis. Our results sustain the implication of HPV in the malignant transformation of HS.

Référence

Dermatology. 2010;220(2):147-53